Provider Demographics
NPI:1083859607
Name:TOBAR, VICTORIA TERESA (DMD)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:TERESA
Last Name:TOBAR
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:273 DALEWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94127-1652
Mailing Address - Country:US
Mailing Address - Phone:415-305-8949
Mailing Address - Fax:
Practice Address - Street 1:800 SANTIAGO ST
Practice Address - Street 2:SUITE A
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94116-1819
Practice Address - Country:US
Practice Address - Phone:415-566-2222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-11
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA544551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice