| Organization Name: | ESTELITA TORRES DMD INC |
| NPI Number: | 1205175866 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ESTELITA GARCIA TORRES (DR./ OWNER) |
| Mailing Address: | 29701 S Western Ave Suite 102 Rancho Palos Verdes |
| State: | CA US |
| Postal Code: | 902751359 |
| Phone Number: | 3102210300 |
| Fax Number: | 3102210580 |
| NPI Enumeration Date: | 02/01/2013 |
| NPI Last Update Date: | 02/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 39218 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |