Provider Demographics
NPI:1518299809
Name:TORRES, LINDA A (DDS)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:A
Last Name:TORRES
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 1:3246 W LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-6007
Mailing Address - Country:US
Mailing Address - Phone:714-220-0725
Mailing Address - Fax:714-220-0825
Practice Address - Street 1:3246 W LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-6007
Practice Address - Country:US
Practice Address - Phone:714-220-0725
Practice Address - Fax:714-220-0825
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-11
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA66095122300000X
CA56095122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentist