| NPI | 1518651546 |
|---|---|
| Former Name | LAUREN TOLEDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 065394) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30.027222) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2026-07-21 |