Healthcare Provider Details

I. General information

NPI: 1912051582
Provider Name (Legal Business Name): LETICIA TORRANO DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1570 S DAIRY ASHFORD ST STE 114
HOUSTON TX
77077-3862
US

IV. Provider business mailing address

1570 S DAIRY ASHFORD ST STE 114
HOUSTON TX
77077-3862
US

V. Phone/Fax

Practice location:
  • Phone: 281-293-7778
  • Fax: 281-293-7719
Mailing address:
  • Phone: 281-293-7778
  • Fax: 281-293-7719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number16607
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: