Provider Demographics
NPI:1477851566
Name:TOSHIKI MATSUI, D.D.S., P.C.
Entity Type:Organization
Organization Name:TOSHIKI MATSUI, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TOSHIKI
Authorized Official - Middle Name:
Authorized Official - Last Name:MATSUI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-830-3363
Mailing Address - Street 1:13890 BRADDOCK RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20121-2435
Mailing Address - Country:US
Mailing Address - Phone:703-830-3363
Mailing Address - Fax:703-830-4473
Practice Address - Street 1:13890 BRADDOCK RD
Practice Address - Street 2:SUITE 106
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20121-2435
Practice Address - Country:US
Practice Address - Phone:703-830-3363
Practice Address - Fax:703-830-4473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-14
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty