Provider Demographics
NPI:1083229801
Name:TORRES, MARTHA CAROLINA (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:CAROLINA
Last Name:TORRES
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 W 5TH ST APT 535
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-5484
Mailing Address - Country:US
Mailing Address - Phone:310-962-2857
Mailing Address - Fax:
Practice Address - Street 1:1217 W SLAUGHTER LN STE 100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-6912
Practice Address - Country:US
Practice Address - Phone:512-593-7970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-09
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX366781223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics