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Individual
ANIBAL V TORRES
Active
Individual
ANIBAL V TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN12977
FL
1223G0001X
General Practice Dentistry
DN12977
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64694
BCBS PROVIDER
FL
01
—
DN12977
DENTAL LICENSE
FL
01
—
J678755
DENTEMAX PROV #
FL
Enumeration date
08/17/2006
Last updated
03/15/2023
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