| NPI | 1386974970 | 
|---|---|
| Former Name | PAMELA TORRES | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 122300000X Dentist (Licence: PR 2850) | 
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: PR 2850) | 
| Enumeration Date | 2010-01-05 | 
| Last Update Date | 2022-06-30 |