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Organization
PETROS TOMA & PUTRUS DENTAL CORP
Active
Organization
PETROS TOMA & PUTRUS DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMEED BUTRUS TOMA DDS (ASSOCIATE DENTIST PARTNER)
(619) 285-5010
Entity
Organization
Contact information
Practice address
4844 UNIVERSITY AVENUE, SUITE B, SAN DIEGO, CA 92105
(619) 285-5010
(619) 285-5013
Mailing address
4844 UNIVERSITY AVENUE, SUITE B, SAN DIEGO, CA 92105
(619) 285-5010
(619) 285-5013
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
48043
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D48043
DENTICAL
CA
Enumeration date
12/15/2006
Last updated
08/22/2020
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