MEDICARE: DR. RAMONA M TORGERSON DDS, PC

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	1223E0200X	Endodontics	14256	TX

General Provider Information

NPI Number	:	1235148354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAMONA M TORGERSON DDS, PC

Provider Business Mailing Address
First Line	:	4545 BELLAIRE DR S
Second Line	:	STE. #8
City	:	FORT WORTH
State	:	TX
Zip	:	76109-1889
Country	:	US
Telephone Number	:	817-735-1981
Fax Number	:

Provider Business Practice Location Address
First Line	:	4545 BELLAIRE DR S
Second Line	:	STE. #8
City	:	FORT WORTH
State	:	TX
Zip	:	76109-1889
Country	:	US
Telephone Number	:	817-735-1981
Fax Number	:

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

Provider Enumeration Date	:	08/07/2006
Last Update Date	:	07/08/2007

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