Provider Demographics
NPI:1831332121
Name:ERIC TO, DDS, INC
Entity type:Organization
Organization Name:ERIC TO, DDS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:C
Authorized Official - Last Name:TO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-445-3388
Mailing Address - Street 1:815 W NAOMI AVE
Mailing Address - Street 2:SUITE #L
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-7560
Mailing Address - Country:US
Mailing Address - Phone:626-445-3388
Mailing Address - Fax:626-445-3288
Practice Address - Street 1:815 W NAOMI AVE
Practice Address - Street 2:SUITE #L
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7560
Practice Address - Country:US
Practice Address - Phone:626-445-3388
Practice Address - Fax:626-445-3288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-16
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA532781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty