Provider Demographics
NPI:1174655542
Name:TOLEDO, NILSA HAYDEE (DMD FAAPD)
Entity Type:Individual
Prefix:DR
First Name:NILSA
Middle Name:HAYDEE
Last Name:TOLEDO
Suffix:
Gender:F
Credentials:DMD FAAPD
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Mailing Address - Street 1:951 SANSBURYS WAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-3619
Mailing Address - Country:US
Mailing Address - Phone:561-215-1603
Mailing Address - Fax:561-537-5738
Practice Address - Street 1:951 SANSBURYS WAY
Practice Address - Street 2:SUITE 201
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-3619
Practice Address - Country:US
Practice Address - Phone:561-215-1603
Practice Address - Fax:561-537-5738
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLDN174011223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL075797701Medicaid