Provider Demographics
NPI:1902597495
Name:TORRES, KAYLA ELIZABETH (DMD)
Entity Type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:ELIZABETH
Last Name:TORRES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 HOLDEN ST
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-1718
Mailing Address - Country:US
Mailing Address - Phone:508-216-5327
Mailing Address - Fax:
Practice Address - Street 1:88 DAVID RD
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02019-1685
Practice Address - Country:US
Practice Address - Phone:508-966-2990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-16
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RISTUDENT1223G0001X
MASTUDENT1223G0001X
MADN18597891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice