Provider Demographics
NPI:1407401409
Name:AURA MARCELA TORRES DDS INC
Entity Type:Organization
Organization Name:AURA MARCELA TORRES DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AURA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:831-423-3002
Mailing Address - Street 1:706 FREDERICK ST
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95062-2205
Mailing Address - Country:US
Mailing Address - Phone:831-423-3002
Mailing Address - Fax:831-423-3038
Practice Address - Street 1:706 FREDERICK ST
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95062-2205
Practice Address - Country:US
Practice Address - Phone:831-423-3002
Practice Address - Fax:831-423-3038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-06
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty