Individual
CARLOS DE LA TORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1941 SALK AVE, TAVARES, FL 32778-4306
(352) 357-4588
Mailing address
155 N LAKEWOOD CIR, MAITLAND, FL 32751-3421
(914) 325-2384
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN22831
FL
Other
Enumeration date
05/15/2015
Last updated
08/09/2023
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