Provider Demographics
NPI:1811064934
Name:CATO CANTRELL, TONIA (DDS)
Entity type:Individual
Prefix:
First Name:TONIA
Middle Name:
Last Name:CATO CANTRELL
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 1:22500 TOWN CIRCLE
Mailing Address - Street 2:SUITE 2074
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92553
Mailing Address - Country:US
Mailing Address - Phone:951-697-6800
Mailing Address - Fax:951-697-6807
Practice Address - Street 1:22500 TOWN CIRCLE
Practice Address - Street 2:SUITE 2074
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553
Practice Address - Country:US
Practice Address - Phone:951-697-6800
Practice Address - Fax:951-697-6807
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA546061223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry