Provider Demographics
NPI:1265620512
Name:TOBIAS, CARI (RDH)
Entity type:Individual
Prefix:
First Name:CARI
Middle Name:
Last Name:TOBIAS
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11803 WATERS EDGE DR
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-9096
Mailing Address - Country:US
Mailing Address - Phone:509-948-2052
Mailing Address - Fax:
Practice Address - Street 1:11803 WATERS EDGE DR
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-9096
Practice Address - Country:US
Practice Address - Phone:509-948-2052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-11
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADH00007352124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist