Individual
ANIBAL V TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
28029 HWY 27, DUNDEE, FL 33838-4276
(863) 258-1093
Mailing address
28029 HWY 27, DUNDEE, FL 33838-4276
(863) 258-1093
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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