Healthcare Provider Details

I. General information

NPI: 1548659931
Provider Name (Legal Business Name): JOSE H. TORRES-URIBE DDS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2015
Last Update Date: 01/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7122 UNIVERSITY AVE
LA MESA CA
91942-5926
US

IV. Provider business mailing address

7122 UNIVERSITY AVE
LA MESA CA
91942-5926
US

V. Phone/Fax

Practice location:
  • Phone: 619-698-5471
  • Fax: 619-698-3075
Mailing address:
  • Phone: 619-698-5471
  • Fax: 619-698-3075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSE H TORRES-URIBE
Title or Position: OWNER
Credential: DDS
Phone: 619-698-5471