Provider Demographics
NPI:1760157135
Name:TORIO, CHANTAL CRUZ (DDS)
Entity type:Individual
Prefix:DR
First Name:CHANTAL
Middle Name:CRUZ
Last Name:TORIO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 LEWIS ST APT 180
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-5079
Mailing Address - Country:US
Mailing Address - Phone:848-219-2017
Mailing Address - Fax:
Practice Address - Street 1:5008 WOODBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-3303
Practice Address - Country:US
Practice Address - Phone:732-661-1800
Practice Address - Fax:732-661-1813
Is Sole Proprietor?:No
Enumeration Date:2021-08-09
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI029212001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice