Provider Demographics
NPI:1194006478
Name:TOROK, ERICA LEA (DDS)
Entity Type:Individual
Prefix:
First Name:ERICA LEA
Middle Name:
Last Name:TOROK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4314 CREEKBEND DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-5010
Mailing Address - Country:US
Mailing Address - Phone:210-882-2876
Mailing Address - Fax:
Practice Address - Street 1:2201 W HOLCOMBE BLVD STE 335
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2030
Practice Address - Country:US
Practice Address - Phone:713-660-6484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27178122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist