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Organization
ORTIZ DENTAL INC
Active
Organization
ORTIZ DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN ORTIZ OLIVEROS DDS (PRESIDENT)
(760) 757-5037
Entity
Organization
Contact information
Practice address
1910 MISSION AVE STE D, OCEANSIDE, CA 92058-7129
(760) 757-5037
(760) 757-5199
Mailing address
1910 MISSION AVE STE D, OCEANSIDE, CA 92058-7129
(760) 757-5037
(760) 757-5199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
52444
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225435928
NPI
CA
Enumeration date
12/03/2014
Last updated
12/03/2014
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