Individual
CARMEN ELENA DE LA TORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
336 NW 5TH ST, MIAMI, FL 33128-1616
(305) 577-4840
Mailing address
336 NW 5TH ST, MIAMI, FL 33128-1616
(305) 577-4840
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15957
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075327100
—
FL
Enumeration date
11/01/2006
Last updated
05/28/2015
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