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Individual
YAEL A ORTIZ
Active
Individual
YAEL A ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
046385
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017022
DORAL
—
01
—
054635
JHHC
—
05
—
119591300
—
MD
01
—
13058
CIGNA
—
05
—
288504201
—
MD
01
—
521860379
AETNA
—
01
—
DG26TH521860379-2-00
CAREFIRST
—
Enumeration date
12/05/2005
Last updated
09/29/2016
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