MEDICARE: MARIA CLAUDIA TORRES DENTAL SERVICES 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	1223G0001X	General Practice Dentistry	043276	NY

General Provider Information

NPI Number	:	1336384775
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARIA CLAUDIA TORRES DENTAL SERVICES PC

Provider Business Mailing Address
First Line	:	7811 35TH AVE
Second Line	:	SUITE 1E
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-2565
Country	:	US
Telephone Number	:	718-899-3840
Fax Number	:	718-335-6707

Provider Business Practice Location Address
First Line	:	7811 35TH AVE
Second Line	:	SUITE 1E
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-2565
Country	:	US
Telephone Number	:	718-899-3840
Fax Number	:	718-335-6707

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. MARIA CLAUDIA TORRES
Credential	:
Telephone Number	:	17188993840

Provider Enumeration Date	:	12/15/2008
Last Update Date	:	02/06/2013

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