Provider Demographics
NPI:1083865455
Name:FLORES, MARIA ELENA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ELENA
Last Name:FLORES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 LAUREL ST STE 301
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1953
Mailing Address - Country:US
Mailing Address - Phone:415-563-3522
Mailing Address - Fax:415-563-3523
Practice Address - Street 1:390 LAUREL ST STE 301
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1953
Practice Address - Country:US
Practice Address - Phone:415-563-3522
Practice Address - Fax:415-563-3523
Is Sole Proprietor?:No
Enumeration Date:2008-10-03
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36318122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist