Provider Demographics
NPI:1972632925
Name:THOMAS S VALO DDS INC
Entity Type:Organization
Organization Name:THOMAS S VALO DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:S
Authorized Official - Last Name:VALO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:419-841-5222
Mailing Address - Street 1:3837 N. HOLLAND-SYLVANIA RD.
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-1007
Mailing Address - Country:US
Mailing Address - Phone:419-841-5222
Mailing Address - Fax:419-841-1730
Practice Address - Street 1:3837 N. HOLLAND-SYLVANIA RD.
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-1007
Practice Address - Country:US
Practice Address - Phone:419-841-5222
Practice Address - Fax:419-841-1730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-015222122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty