Provider Demographics
NPI:1932674033
Name:TORODENTAL PLLC
Entity Type:Organization
Organization Name:TORODENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDGARDO
Authorized Official - Middle Name:J
Authorized Official - Last Name:TORO-QUINONES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-605-9013
Mailing Address - Street 1:5420 WEBB RD STE D1
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-3255
Mailing Address - Country:US
Mailing Address - Phone:813-886-0545
Mailing Address - Fax:813-514-4869
Practice Address - Street 1:5420 WEBB RD STE D1
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-3255
Practice Address - Country:US
Practice Address - Phone:813-886-0545
Practice Address - Fax:813-514-4869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-04
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty