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Individual

DR. THOMAS TERUMI OMOTO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
927 DEEP VALLEY DR, ROLLING HILLS ESTATES, CA 90274-3808
(310) 377-0929
(310) 377-0794
Mailing address
927 DEEP VALLEY DR, ROLLING HILLS ESTATES, CA 90274-3836
(310) 377-0929
(310) 377-0794

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
31506
CA

Other

Enumeration date
03/31/2006
Last updated
07/08/2007
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