Provider Demographics
NPI:1780027003
Name:TOLAND, MEGHAN RUTH (DMD)
Entity type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:RUTH
Last Name:TOLAND
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 1:4116 KENDALL ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-5413
Mailing Address - Country:US
Mailing Address - Phone:978-852-0184
Mailing Address - Fax:
Practice Address - Street 1:8029 LA MESA BLVD
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-6434
Practice Address - Country:US
Practice Address - Phone:619-460-9100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA629951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice