Provider Demographics
NPI:1639846819
Name:CABRERA TORRES DENTAL CORPORATION
Entity Type:Organization
Organization Name:CABRERA TORRES DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:HILDA
Authorized Official - Last Name:TORRES BENITEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-561-2302
Mailing Address - Street 1:36 LINDCOVE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-0945
Mailing Address - Country:US
Mailing Address - Phone:714-569-0021
Mailing Address - Fax:
Practice Address - Street 1:7500 ROSECRANS AVE
Practice Address - Street 2:
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-2506
Practice Address - Country:US
Practice Address - Phone:562-801-1284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-25
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental