Provider Demographics
NPI:1669503900
Name:TORRES, ARIEL ADEA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ARIEL
Middle Name:ADEA
Last Name:TORRES
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3069 E TULARE ST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93721-1503
Mailing Address - Country:US
Mailing Address - Phone:559-266-5585
Mailing Address - Fax:559-266-5587
Practice Address - Street 1:3069 E TULARE ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93721-1503
Practice Address - Country:US
Practice Address - Phone:559-266-5585
Practice Address - Fax:559-266-5587
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA424331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice