Provider Demographics
NPI:1013589712
Name:TOMA, IRINA
Entity Type:Individual
Prefix:DR
First Name:IRINA
Middle Name:
Last Name:TOMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6017 PINE RIDGE RD # 252
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-3956
Mailing Address - Country:US
Mailing Address - Phone:239-290-5002
Mailing Address - Fax:
Practice Address - Street 1:PATRICIA PRIMERO, DDS
Practice Address - Street 2:9010 STRADA STELL CT SUITE 101
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109
Practice Address - Country:US
Practice Address - Phone:239-256-8727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN25459122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist