Individual
DR. FIDEL JOSE TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S. M.S.D.
Contact information
Practice address
11092 ANDERSON ST., LOMA LINDA, CA 92354
(909) 558-4960
(909) 558-0689
Mailing address
11092 ANDERSON ST., LOMA LINDA, CA 92354
(909) 558-4960
(909) 558-0689
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
SP-220
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP-220
STATE LICENSE NUMBER
CA
Enumeration date
05/10/2007
Last updated
07/08/2007
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