Provider Demographics
NPI:1881805067
Name:TORRENTE, ALICE (DENTAL HYGIENIST)
Entity type:Individual
Prefix:
First Name:ALICE
Middle Name:
Last Name:TORRENTE
Suffix:
Gender:F
Credentials:DENTAL HYGIENIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6117 SILVERSTONE DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-1072
Mailing Address - Country:US
Mailing Address - Phone:248-828-3623
Mailing Address - Fax:
Practice Address - Street 1:330 W 14 MILE RD
Practice Address - Street 2:SUITE 150
Practice Address - City:CLAWSON
Practice Address - State:MI
Practice Address - Zip Code:48017-1919
Practice Address - Country:US
Practice Address - Phone:248-435-8880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2902002329124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist