Provider Demographics
NPI:1114783362
Name:TOLIVER, VICTORIA (HYGIENIST/X2)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:
Last Name:TOLIVER
Suffix:
Gender:F
Credentials:HYGIENIST/X2
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2954 CARRINGTON RD
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79916
Mailing Address - Country:US
Mailing Address - Phone:360-819-3618
Mailing Address - Fax:
Practice Address - Street 1:11044 BULLSEYE ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79934-2841
Practice Address - Country:US
Practice Address - Phone:360-819-3618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist