Provider Demographics
NPI:1568681856
Name:TOLEDO, ROMMEL GARCIA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROMMEL
Middle Name:GARCIA
Last Name:TOLEDO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 S GARFIELD AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-4437
Mailing Address - Country:US
Mailing Address - Phone:626-284-1800
Mailing Address - Fax:626-284-1155
Practice Address - Street 1:750 S GARFIELD AVE
Practice Address - Street 2:SUITE A
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-4437
Practice Address - Country:US
Practice Address - Phone:626-284-1800
Practice Address - Fax:626-284-1155
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37171122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist