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General NPI Number Information
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NPI Number | 1215581640
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Entity Type | Individual
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Provider Name | JOANNA MARIE TOLEDO SANTOS DDS
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Gender | Female
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Dates
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Enumeration Date | 07/24/2019
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 1750 WRIGHT ST
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City | SACRAMENTO
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State | CA
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Zip | 95825-4041
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Country | US
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Telephone | 916-454-2345
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Fax | 916-457-2667
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Provider Business Mailing Address
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Address Line | 5200 STOCKTON BLVD STE 110
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City | SACRAMENTO
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State | CA
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Zip | 95820-5492
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Country | US
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Telephone | 916-455-6600
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DDS103883
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License Number State | CA
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