MEDICARE: E.P. TORRES, DMD INC

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1417784620
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	E.P. TORRES, DMD INC

Provider Business Mailing Address
First Line	:	3021 EL CAMINO AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95821-6014
Country	:	US
Telephone Number	:	916-515-9363
Fax Number	:	916-515-9771

Provider Business Practice Location Address
First Line	:	3021 EL CAMINO AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95821-6014
Country	:	US
Telephone Number	:	916-515-9363
Fax Number	:	916-515-9771

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	DR. EDWIN PANGAN TORRES
Credential	:	DMD
Telephone Number	:	916-515-9363

Provider Enumeration Date	:	09/19/2024
Last Update Date	:	09/19/2024

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