Provider Demographics
NPI:1245773514
Name:TOZBIKIAN, SYLVIA VICTORIA (DDS)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:VICTORIA
Last Name:TOZBIKIAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50249 HARRISON STREET SUITE G
Mailing Address - Street 2:
Mailing Address - City:COACHELLA
Mailing Address - State:CA
Mailing Address - Zip Code:92236
Mailing Address - Country:US
Mailing Address - Phone:760-398-9848
Mailing Address - Fax:760-398-9877
Practice Address - Street 1:50249 HARRISON ST STE G
Practice Address - Street 2:
Practice Address - City:COACHELLA
Practice Address - State:CA
Practice Address - Zip Code:92236-1530
Practice Address - Country:US
Practice Address - Phone:760-398-9848
Practice Address - Fax:760-398-9877
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-18
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100647122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist