Provider Demographics
NPI:1639414030
Name:URREGO-TORRES, CLAUDIA (DMD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:
Last Name:URREGO-TORRES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 FIELDSBORN CT NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-1000
Mailing Address - Country:US
Mailing Address - Phone:215-688-6537
Mailing Address - Fax:
Practice Address - Street 1:4574 LAWRENCEVILLE HWY NW
Practice Address - Street 2:SUITE 120
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047-3618
Practice Address - Country:US
Practice Address - Phone:770-921-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN014493122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist