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General NPI Number Information
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NPI Number | 1386937753
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Entity Type | Organization
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Legal Business Name | MARCELO TOLEDO DDS INC
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Dates
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Enumeration Date | 05/18/2011
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Last Update Date | 03/17/2024
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Provider Practice Location Address
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Address Line | 326 N RIVERSIDE AVE
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City | RIALTO
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State | CA
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Zip | 92376-5926
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Country | US
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Telephone | 909-875-1464
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Fax | 909-875-1467
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Provider Business Mailing Address
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Address Line | 326 N RIVERSIDE AVE
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City | RIALTO
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State | CA
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Zip | 92376-5926
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Country | US
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Telephone | 909-875-1464
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Fax | 909-875-1467
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARCELO GABRIEL TOLEDO
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Credential | DDS
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Telephone | 909-319-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 54668
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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