Healthcare Provider Details

I. General information

NPI: 1639846819
Provider Name (Legal Business Name): CABRERA TORRES DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2021
Last Update Date: 11/30/2021
Certification Date: 11/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 ROSECRANS AVE
PARAMOUNT CA
90723-2506
US

IV. Provider business mailing address

36 LINDCOVE
IRVINE CA
92602-0945
US

V. Phone/Fax

Practice location:
  • Phone: 562-801-1284
  • Fax:
Mailing address:
  • Phone: 714-569-0021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MARTHA HILDA TORRES BENITEZ
Title or Position: PRESIDENT
Credential:
Phone: 949-561-2302