Provider Demographics
NPI:1235148354
Name:TORGERSON, RAMONA M (DDS, PC)
Entity Type:Individual
Prefix:DR
First Name:RAMONA
Middle Name:M
Last Name:TORGERSON
Suffix:
Gender:F
Credentials:DDS, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4545 BELLAIRE DR S
Mailing Address - Street 2:STE. #8
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76109-1889
Mailing Address - Country:US
Mailing Address - Phone:817-735-1981
Mailing Address - Fax:
Practice Address - Street 1:4545 BELLAIRE DR S
Practice Address - Street 2:STE. #8
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-1889
Practice Address - Country:US
Practice Address - Phone:817-735-1981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX142561223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics