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General NPI Number Information
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NPI Number | 1477924975
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Entity Type | Individual
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Provider Name | RYAN CHRISTOPHER TOLEDO DDS
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Gender | Male
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Dates
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Enumeration Date | 10/09/2015
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Last Update Date | 12/13/2017
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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 |
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Provider Business Mailing Address
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Address Line | 23224 WESTWOOD ST
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City | GRAND TERRACE
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State | CA
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Zip | 92313-5313
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Country | US
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Telephone | 909-327-7366
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 65079
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License Number State | CA
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