Individual
NIDYA DE LA TORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
24501 PARKSLEY ROAD, PARKSLEY, VA 23421
(757) 414-0400
(757) 414-0179
Mailing address
20280 MARKET ST, ESHR- ATLANTIC COMMUNITY HEALTH CENTER, ONANCOCK, VA 23417-1331
(757) 414-0400
(757) 414-0179
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
015781
MO
122300000X
Dentist
Primary
0401413959
VA
Other
Enumeration date
04/11/2015
Last updated
07/01/2015
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