Provider Demographics
NPI:1891990651
Name:TH0MAS TOMA,DMD & SILVIA S. TOMA,DMD
Entity type:Organization
Organization Name:TH0MAS TOMA,DMD & SILVIA S. TOMA,DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-420-1100
Mailing Address - Street 1:3460 HIGHLAND AVE STE D
Mailing Address - Street 2:
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-7446
Mailing Address - Country:US
Mailing Address - Phone:619-420-1100
Mailing Address - Fax:
Practice Address - Street 1:3460 HIGHLAND AVE STE D
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-7446
Practice Address - Country:US
Practice Address - Phone:619-420-1100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42431261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA42431OtherDENTAL LICENSE
CA41538OtherDENTAL LICENSE