Provider Demographics
NPI:1710362090
Name:DANIEL A. FLORES, DDS, MS, INC
Entity Type:Organization
Organization Name:DANIEL A. FLORES, DDS, MS, INC
Other - Org Name:FLORES ORTHODONTICS
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:760-745-1831
Mailing Address - Street 1:135 E 3RD AVE
Mailing Address - Street 2:STE. A
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-4252
Mailing Address - Country:US
Mailing Address - Phone:760-745-1831
Mailing Address - Fax:760-745-3415
Practice Address - Street 1:135 E 3RD AVE
Practice Address - Street 2:STE. A
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-4252
Practice Address - Country:US
Practice Address - Phone:760-745-1831
Practice Address - Fax:760-745-3415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30685261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental