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Organization
TORRES DENTAL INC
Active
Organization
TORRES DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH O TORRES DDS (OWNER)
(510) 895-8191
Entity
Organization
Contact information
Practice address
579 FLORESTA BLVD, STE D, SAN LEANDRO, CA 94578-4106
(510) 895-8191
Mailing address
579 FLORESTA BLVD, STE D, SAN LEANDRO, CA 94578-4106
(510) 895-8191
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
57997
CA
Other
Enumeration date
10/04/2011
Last updated
12/05/2011
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