Search › California › 1223G0001X
Agnes Tison, DDS
NPI 1710016431 · on the registry since 2007
Practice
- Address
- 1112 N Virgil Avenue
Los Angeles, CA 90029 - Phone
- (323) 665-1208
- Fax
- (323) 665-1203
- Organisation at this address
- Tison Dental Corporation, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California