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Individual

DR. ERNESTO JOSE TORRES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
307 BOATNER RD STE 114, 96 DENTAL SQUADRON, EGLIN AFB, FL 32542-1302
(850) 883-8582
Mailing address
4241 LOST HORSE CIR, NICEVILLE, FL 32578-7128
(850) 279-3291

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
1078
PR
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN21959
FL

Other

Enumeration date
12/19/2005
Last updated
07/18/2016
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