MEDICARE: DR. KARINA TORRES DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	37486	TX

General Provider Information

NPI Number	:	1003489873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARINA TORRES DDS

Provider Business Mailing Address
First Line	:	821 SUNSET AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208-4930
Country	:	US
Telephone Number	:	214-946-1484
Fax Number	:

Provider Business Practice Location Address
First Line	:	2428 W ILLINOIS AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75233-1106
Country	:	US
Telephone Number	:	214-330-0222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2021
Last Update Date	:	07/20/2021

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