Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 37486 | TX |
NPI | 1003489873 |
---|---|
Provider Name | Dr. Karina Torres |
First Address | Dallas, TX 75208-4930 |
Second Address | Dallas, TX 75233-1106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2021 |
Last Update Date | 20/07/2021 |