Provider Demographics
NPI:1336343193
Name:TOQUERO, MARILOU SINGAYAN
Entity Type:Individual
Prefix:
First Name:MARILOU
Middle Name:SINGAYAN
Last Name:TOQUERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7415 RIDGEWAY DR
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-1418
Mailing Address - Country:US
Mailing Address - Phone:818-237-8619
Mailing Address - Fax:562-496-0688
Practice Address - Street 1:9025 WILSHIRE BLVD STE 415
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-1828
Practice Address - Country:US
Practice Address - Phone:818-237-8619
Practice Address - Fax:310-278-5267
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA544321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice