Provider Demographics
NPI:1588868772
Name:TOMESCU, EMIL (DDS)
Entity type:Individual
Prefix:
First Name:EMIL
Middle Name:
Last Name:TOMESCU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 W CATALINA DR
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-8272
Mailing Address - Country:US
Mailing Address - Phone:928-726-1192
Mailing Address - Fax:928-726-1192
Practice Address - Street 1:280 W CATALINA DR
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8272
Practice Address - Country:US
Practice Address - Phone:928-726-1192
Practice Address - Fax:928-726-1192
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3742122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ3742OtherLICENSE NUMBER