Healthcare Provider Details

I. General information

NPI: 1548053937
Provider Name (Legal Business Name): ARRIANA TORRES DENTAL HYGIENE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2025
Last Update Date: 05/28/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BLDG 2310 UNIT 31401 BOX 28
APO AE
09630
US

IV. Provider business mailing address

BLDG 2310 UNIT 31401 BOX 28
APO AE
09630-0031
US

V. Phone/Fax

Practice location:
  • Phone: 314-636-9210
  • Fax:
Mailing address:
  • Phone: 328-650-4274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code126800000X
TaxonomyDental Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: