MEDICARE: DR. MARTHA HILDA TORRES DE SARAVIA 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	DDS104581	CA

General Provider Information

NPI Number	:	1215577697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTHA HILDA TORRES DE SARAVIA DDS

Provider Business Mailing Address
First Line	:	2723 N BRISTOL ST STE D7
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92706-1419
Country	:	US
Telephone Number	:	714-569-0021
Fax Number	:	714-569-0022

Provider Business Practice Location Address
First Line	:	2723 N BRISTOL ST STE D7
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92706-1419
Country	:	US
Telephone Number	:	714-569-0021
Fax Number	:	714-569-0022

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

Provider Enumeration Date	:	01/13/2020
Last Update Date	:	06/12/2024

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