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Organization
THOMAS T. OMOTO, DMD INC
Active
Organization
THOMAS T. OMOTO, DMD INC
Active
Other names
Peninsula Oral Surgery & Implants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS T. OMOTO DMD (PRESIDENT)
(310) 325-7800
Entity
Organization
Contact information
Practice address
3445 PACIFIC COAST HWY, SUITE 205, TORRANCE, CA 90505
(310) 325-7800
(310) 325-7804
Mailing address
3445 PACIFIC COAST HWY, SUITE 205, TORRANCE, CA 90505
(310) 325-7800
(310) 325-7804
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
261QD0000X
Dental Clinic/Center
31506
CA
Other
Enumeration date
07/15/2006
Last updated
10/27/2022
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