Provider Demographics
NPI:1992974281
Name:TOLEDO, GILBERT (DMD)
Entity type:Individual
Prefix:
First Name:GILBERT
Middle Name:
Last Name:TOLEDO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7765 SW 87TH AVE
Mailing Address - Street 2:109
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173
Mailing Address - Country:US
Mailing Address - Phone:305-270-3222
Mailing Address - Fax:305-270-2607
Practice Address - Street 1:7765 SW 87TH AVE
Practice Address - Street 2:109
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173
Practice Address - Country:US
Practice Address - Phone:305-270-3222
Practice Address - Fax:305-270-2607
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-21
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00120821223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics