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Organization
TALLAHASSEE ORAL AND MAXILLOFACIAL SURGERY, PLLC
Active
Organization
TALLAHASSEE ORAL AND MAXILLOFACIAL SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO ORTIZ DMD, MD (ORAL AND MAXILLOFACIAL SURGEON)
(787) 556-6039
Entity
Organization
Contact information
Practice address
3665 COOLIDGE CT STE 102, TALLAHASSEE, FL 32311-7894
(850) 431-6725
(850) 431-6859
Mailing address
3665 COOLIDGE CT STE 102, TALLAHASSEE, FL 32311-7894
(850) 431-6725
(850) 431-6859
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
06/04/2021
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