Individual
FATIMA T TORRES-TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3312 CORNELIA CT, JAMESTOWN, NC 27282-7733
(336) 450-8161
Mailing address
240 S 40TH ST, OFFICE OF CLINICAL AFFAIRS-S6A EVANS, PHILADELPHIA, PA 19104-6030
(215) 573-2588
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14338
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/19/2022
Last updated
07/17/2025
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