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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