Provider Demographics
NPI:1073682811
Name:PABLO O TORRES DDS MS LTD
Entity Type:Organization
Organization Name:PABLO O TORRES DDS MS LTD
Other - Org Name:COMPREHENSIVE DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:PABLO
Authorized Official - Middle Name:O
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:DSS MS
Authorized Official - Phone:773-521-0885
Mailing Address - Street 1:3354 W 26 STREET
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60623
Mailing Address - Country:US
Mailing Address - Phone:773-521-0885
Mailing Address - Fax:
Practice Address - Street 1:3354 W 26 STREET
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60623
Practice Address - Country:US
Practice Address - Phone:773-521-0885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019022032122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty