Organization
DAVID TOMA DDS, INC
Active
Other names
KIDS DENTAL ANESTHESIA SERVCES, KIDS DENTAL ANESTHESIA SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE VELASQUEZ DO (PRACTICE MANAGER)
(877) 459-8450
Entity
Organization
Contact information
Practice address
1800 K ST NW STE 1104, WASHINGTON, DC 20006-2235
(877) 459-8450
(877) 460-0720
Mailing address
645 SWEETWATER RD, SPRING VALLEY, CA 91977-5628
(619) 964-0750
(877) 460-0720
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN1001749
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018242192
—
DC
Enumeration date
07/02/2018
Last updated
07/02/2018
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