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NPI Code Detail

MEDICARE: TORRI ESPINOZA-LOGAN RDH

MEDICARE:   TORRI  ESPINOZA-LOGAN  RDH
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
1124Q00000XDental Hygienist21435CA

General Provider Information

NPI Number : 1114376019
Entity Type Code : Individual
Provider Name (Legal Business Name) : TORRI ESPINOZA-LOGAN RDH
Provider Business Mailing Address
First Line : 9710 JUSTICE LN
Second Line :
City : CONVERSE
State : TX
Zip : 78109-1943
Country : US
Telephone Number : 701-340-8288
Fax Number :
Provider Business Practice Location Address
First Line : 3145 GARDEN AVE
Second Line : SUITE 1278
City : FORT SAM HOUSTON
State : TX
Zip : 78234-7718
Country : US
Telephone Number : 210-808-3735
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2016
Last Update Date : 02/09/2023

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Directions to “ TORRI ESPINOZA-LOGAN RDH” Practice Location

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