Individual
DR. ERNESTO I TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
900 N SWALLOWTAIL DR, SUITE 103, PORT ORANGE, FL 32129-6102
(386) 788-5000
(386) 788-5001
Mailing address
4625 RIVERS EDGE VILLAGE LN UNIT 5402, PONCE INLET, FL 32127-2203
(386) 760-9360
(386) 760-9360
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN0009041
FL
1223G0001X
General Practice Dentistry
Primary
DN0009041
FL
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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