# TOMODA DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437512498
- **Authorized official:** MATT TOMODA DDS (OWNER)
- **Authorized official phone:** (540) 953-2982

## Contact information

- **Practice address:** 614 S MAIN ST, BLACKSBURG, VA 24060-5259
- **Practice address phone:** (540) 953-2982
- **Mailing address:** 7545 W SAHARA AVE STE 210, LAS VEGAS, NV 89117-2755
- **Mailing address phone:** (702) 997-7707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401413453 | VA | Yes |

## Other

- **Enumeration date:** 03/29/2016
- **Last updated:** 03/29/2016