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Organization
AESTHETIC SMILE DENTAL CENTER
Active
Organization
AESTHETIC SMILE DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILOU S. TOQUERO DDS (CHIEF EXECUTIVE OFFICER)
(562) 496-1888
Entity
Organization
Contact information
Practice address
3203 CARSON ST, SUITE # 2, LAKEWOOD, CA 90712-4006
(562) 496-1888
(562) 496-0688
Mailing address
3203 CARSON ST, SUITE # 2, LAKEWOOD, CA 90712-4006
(562) 496-1888
(562) 496-0688
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
54432
CA
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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