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Organization
TOMA&PETROS DDS INC
Active
Organization
TOMA&PETROS DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DHAFIR J PETROS DDS (DENTIST)
(619) 283-2093
Entity
Organization
Contact information
Practice address
3530 CAMINO DEL RIO N, SUIT 109, SAN DIEGO, CA 92108-1743
(619) 283-2093
(619) 283-0803
Mailing address
3530 CAMINO DEL RIO N, SUIT 109, SAN DIEGO, CA 92108-1743
(619) 283-2093
(619) 283-0803
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47154
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47154
DENTIST
CA
Enumeration date
12/12/2006
Last updated
08/22/2020
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