Provider Demographics
NPI:1801451398
Name:MARILOU TOQUERO DENTAL CORP
Entity type:Organization
Organization Name:MARILOU TOQUERO DENTAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARILOU
Authorized Official - Middle Name:SINGAYAN
Authorized Official - Last Name:TOQUERO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-237-8619
Mailing Address - Street 1:3203 CARSON ST SUITE 2
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90712-4052
Mailing Address - Country:US
Mailing Address - Phone:562-496-1888
Mailing Address - Fax:
Practice Address - Street 1:3203 CARSON ST SUITE 2
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90712
Practice Address - Country:US
Practice Address - Phone:818-237-8619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-09
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies