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Organization
ORTEGA ORTHODONTICS, PLLC
Active
Organization
ORTEGA ORTHODONTICS, PLLC
Active
Other names
Ortega Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM VAUGHN HOLLAND D.M.D., M.S. (OWNER)
(904) 388-4600
Entity
Organization
Contact information
Practice address
5435 ORTEGA BLVD, SUITE #2, JACKSONVILLE, FL 32210-8435
(904) 388-4600
(904) 389-9499
Mailing address
5435 ORTEGA BLVD, SUITE #2, JACKSONVILLE, FL 32210-8435
(904) 388-4600
(904) 389-9499
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN18644
FL
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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