Provider Demographics
NPI:1538370671
Name:NATALIA TOMONA D.D.S. PC
Entity type:Organization
Organization Name:NATALIA TOMONA D.D.S. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMONA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-540-6301
Mailing Address - Street 1:12850 MIDDLEBROOK RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-5244
Mailing Address - Country:US
Mailing Address - Phone:301-540-6301
Mailing Address - Fax:301-540-6302
Practice Address - Street 1:12850 MIDDLEBROOK RD
Practice Address - Street 2:SUITE 102
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-5244
Practice Address - Country:US
Practice Address - Phone:301-540-6301
Practice Address - Fax:301-540-6302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13290261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental