Provider Demographics
NPI:1639656671
Name:TOMASH, ANDREW KIEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:KIEL
Last Name:TOMASH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3550 SAANICH ROAD
Mailing Address - Street 2:UNIT 203
Mailing Address - City:VICTORIA
Mailing Address - State:B.C.
Mailing Address - Zip Code:V8X1X2
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:203-3550 SAANICH RD
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:B.C.
Practice Address - Zip Code:V8X1X2
Practice Address - Country:CA
Practice Address - Phone:585-224-6954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-23
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NYPRAC.IN.CANADA1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program