Individual
DR. KEYLA IVETTE TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
6395 DOBBIN RD STE 208, COLUMBIA, MD 21045-4759
(410) 997-1189
(412) 992-5474
Mailing address
6395 DOBBIN RD STE 208, COLUMBIA, MD 21045-4759
(410) 997-1189
(410) 992-5474
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2757
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2757
DENTIST LICENSE
PR
Enumeration date
07/07/2009
Last updated
04/28/2020
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