| Marcelo Toledo Dds Inc | |
|
326 N Riverside Ave Rialto CA 92376-5926 | |
| (909) 875-1464 | |
| (909) 875-1467 |
| Full Name | Marcelo Toledo Dds Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 326 N Riverside Ave, Rialto, California |
| Authorized Official Name and Position | Marcelo Gabriel Toledo (PRESIDENT) |
| Authorized Official Contact | 9093193600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marcelo Toledo Dds Inc 326 N Riverside Ave Rialto CA 92376-5926 Ph: (909) 875-1464 | Marcelo Toledo Dds Inc 326 N Riverside Ave Rialto CA 92376-5926 Ph: (909) 875-1464 |
| NPI Number | 1386937753 |
|---|---|
| Provider Enumeration Date | 05/18/2011 |
| Last Update Date | 03/17/2024 |
| Medicare PECOS PAC ID | 6901108539 |
|---|---|
| Medicare Enrollment ID | O20160113001482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386937753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 54668 (California) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Marcelo Gabriel Toledo |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1811192180 PECOS PAC ID: 7719289347 Enrollment ID: I20160113002324 |
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