Provider Demographics
NPI:1689664500
Name:TORRES, ANA MARGARITA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:MARGARITA
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 1:16313 DOUBLE EAGLE DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-3817
Mailing Address - Country:US
Mailing Address - Phone:773-532-9367
Mailing Address - Fax:
Practice Address - Street 1:13625 RONALD W REAGAN BLVD BLDG 4
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2073
Practice Address - Country:US
Practice Address - Phone:773-528-6478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-22
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX288611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice