Organization Active NPI

Aesthetic Smile Dental Center

  • Dental Clinic/Center
  • Lakewood, CA
National Provider Identifier
1255597530
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
54432 Issued in CA
Legal business name
AESTHETIC SMILE DENTAL CENTER
Practice address
3203 Carson St
Suite # 2
Lakewood, CA 90712-4006
Phone
(562) 496-1888
Fax
(562) 496-0688
NPI assigned
Aug 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Marilou S. Toquero, DDS
Title
Chief Executive Officer
Phone
(562) 496-1888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 54432 CA Primary

Addresses

Primary practice location

3203 Carson St
Suite # 2
Lakewood, CA 90712-4006

Mailing address

3203 Carson St
Suite # 2
Lakewood, CA 90712-4006
Phone (562) 496-1888

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1255597530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 CARSON ST",
            "address_2": "SUITE # 2",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907124006",
            "telephone_number": "562-496-1888",
            "fax_number": "562-496-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 CARSON ST",
            "address_2": "SUITE # 2",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907124006",
            "telephone_number": "562-496-1888",
            "fax_number": "562-496-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC SMILE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "TOQUERO",
        "authorized_official_first_name": "MARILOU",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "562-496-1888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "54432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.