Organization
DANIEL M TORRES-BAYONA
Active
Other names
Coastal Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL M TORRES BAYONA DDS (ORTHODONTIST)
(361) 993-2288
Entity
Organization
Contact information
Practice address
6500 SOUTH PADRE ISLAND DRIVE, SUITE 25, CORPUS CHRISTI, TX 78412-4055
(361) 993-2288
(361) 993-1199
Mailing address
6500 SOUTH PADRE ISLAND DRIVE, SUITE 25, CORPUS CHRISTI, TX 78412-4055
(361) 993-2288
(361) 993-1199
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
TX
261QD0000X
Dental Clinic/Center
Primary
18420
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009869101
—
TX
01
—
413923
UNITED CONCORDIA
—
Enumeration date
11/15/2006
Last updated
07/23/2008
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