Provider Demographics
NPI:1376745521
Name:JAMES, TONJOLIQUE DABRIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:TONJOLIQUE
Middle Name:DABRIA
Last Name:JAMES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:TONJOLIQUE
Other - Middle Name:DEADRIA
Other - Last Name:JAMES JACKSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:918 WOODED CREEK DRIVE
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104
Mailing Address - Country:US
Mailing Address - Phone:972-291-2691
Mailing Address - Fax:
Practice Address - Street 1:950 E BELT LINE RD
Practice Address - Street 2:SUITE 130
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-2422
Practice Address - Country:US
Practice Address - Phone:972-765-6574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23084122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist