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General NPI Number Information
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NPI Number | 1215534698
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Entity Type | Organization
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Legal Business Name | M. TORRES A PROFESSIONAL DENTAL CORPORATION
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Dates
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Enumeration Date | 10/08/2020
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Last Update Date | 10/08/2020
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Provider Practice Location Address
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Address Line | 2723 N BRISTOL ST STE D7
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City | SANTA ANA
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State | CA
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Zip | 92706-1419
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Country | US
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Telephone | 714-569-0021
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Fax |
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Provider Business Mailing Address
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Address Line | 2723 N BRISTOL ST STE D7
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City | SANTA ANA
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State | CA
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Zip | 92706-1419
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Country | US
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Telephone | 714-569-0021
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARTHA HILDA TORRES BENITEZ
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Credential | DDS
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Telephone | 949-561-2302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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