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General NPI Number Information
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NPI Number | 1891990651
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Entity Type | Organization
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Legal Business Name | TH0MAS TOMA,DMD & SILVIA S. TOMA,DMD
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3460 HIGHLAND AVE STE D
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City | NATIONAL CITY
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State | CA
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Zip | 91950-7446
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Country | US
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Telephone | 619-420-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 3460 HIGHLAND AVE STE D
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City | NATIONAL CITY
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State | CA
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Zip | 91950-7446
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Country | US
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Telephone | 619-420-1100
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. THOMAS TOMA
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Credential |
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Telephone | 619-420-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 42431
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License Number State | CA
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