Organization
TOMODA DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT TOMODA DDS (OWNER)
(540) 953-2982
Entity
Organization
Contact information
Practice address
614 S MAIN ST, BLACKSBURG, VA 24060-5259
(540) 953-2982
Mailing address
7545 W SAHARA AVE STE 210, LAS VEGAS, NV 89117-2755
(702) 997-7707
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413453
VA
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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