Individual
GINA TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4076 NEELY RD, FT WAINWRIGHT, AK 99703
(907) 750-2955
Mailing address
4076 NEELY ROAD, BLDG 4076, ROOM 1B-201, FORT WAINWRIGHT, AK 99703
(907) 361-6028
(907) 361-4847
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12338
MN
1223G0001X
General Practice Dentistry
D12338
MN
Other
Enumeration date
05/16/2008
Last updated
08/23/2024
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