Provider Demographics
NPI:1659726537
Name:TORO, ALICIA MARIA (DDS)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:MARIA
Last Name:TORO
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 1:5341 SW 160TH AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTHWEST RANCHES
Mailing Address - State:FL
Mailing Address - Zip Code:33331-1410
Mailing Address - Country:US
Mailing Address - Phone:786-942-6583
Mailing Address - Fax:
Practice Address - Street 1:5341 SW 160TH AVE
Practice Address - Street 2:
Practice Address - City:SOUTHWEST RANCHES
Practice Address - State:FL
Practice Address - Zip Code:33331-1410
Practice Address - Country:US
Practice Address - Phone:786-942-6583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-28
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 217811223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics