Individual
DR. ALBERT CHARLES LA TORRE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2289 STREET RD, WARRINGTON, PA 18976-2338
(215) 491-0502
(215) 491-2277
Mailing address
2289 STREET RD, WARRINGTON, PA 18976-2338
(215) 491-0502
(215) 695-2277
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS024146L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010030
—
PA
01
—
533278
UNITED CONCORDIA
PA
Enumeration date
04/03/2007
Last updated
03/26/2013
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