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General NPI Number Information
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NPI Number | 1417784620
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Entity Type | Organization
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Legal Business Name | E.P. TORRES, DMD INC
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Dates
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Enumeration Date | 09/19/2024
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 3021 EL CAMINO AVE
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City | SACRAMENTO
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State | CA
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Zip | 95821-6014
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Country | US
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Telephone | 916-515-9363
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Fax | 916-515-9771
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Provider Business Mailing Address
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Address Line | 3021 EL CAMINO AVE
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City | SACRAMENTO
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State | CA
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Zip | 95821-6014
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Country | US
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Telephone | 916-515-9363
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Fax | 916-515-9771
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | DR. EDWIN PANGAN TORRES
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Credential | DMD
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Telephone | 916-515-9363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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