Most Relevant Information
Provider Data
| NPI Number: | 1003219064 |
| Provider Name: | TOMOKO WADA DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 64110 |
Most Important Dates
| Enumeration Date: | 10/06/2014 |
| Last Updated: | 07/20/2015 |
Provider Practice Location
925 W 34TH ST STE 127
OSTROW SCHOOL OF DENTISTRY OF USC
LOS ANGELES
CA
900890058
Practice Location Phone/Fax
| Phone: | 2137403410 |
| Fax: | 2137403573 |
Provider Mailing Location
925 W 34TH ST STE 127
OSTROW SCHOOL OF DENTISTRY OF USC
LOS ANGELES
CA
900890641
Provider Mailing Phone/Fax
| Phone: | 2137403410 |
| Fax: |