Provider Demographics
NPI:1598745762
Name:TORREZ, KRISTINE ANN (RDH)
Entity Type:Individual
Prefix:MS
First Name:KRISTINE
Middle Name:ANN
Last Name:TORREZ
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:MS
Other - First Name:KRISTINE
Other - Middle Name:MCWADE
Other - Last Name:TORREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3000 SAVILLE GARDEN WAY
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23453-7070
Mailing Address - Country:US
Mailing Address - Phone:757-468-0343
Mailing Address - Fax:
Practice Address - Street 1:1550 TOMCAT BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23460-2218
Practice Address - Country:US
Practice Address - Phone:757-953-3918
Practice Address - Fax:757-953-3919
Is Sole Proprietor?:No
Enumeration Date:2006-01-21
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDH8243124Q00000X
VA0402004146124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist