Provider Demographics
NPI:1649598087
Name:TOQUICA, TATIANA (DDS)
Entity Type:Individual
Prefix:DR
First Name:TATIANA
Middle Name:
Last Name:TOQUICA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:TATIANA
Other - Middle Name:P
Other - Last Name:HOYOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:8319 W FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2029
Mailing Address - Country:US
Mailing Address - Phone:786-536-9115
Mailing Address - Fax:
Practice Address - Street 1:8319 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2029
Practice Address - Country:US
Practice Address - Phone:786-536-9115
Practice Address - Fax:305-402-2222
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-10
Last Update Date:2020-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN217541223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry