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Individual
MARCIO VIEIRA ORTEGOSA
Active
Individual
MARCIO VIEIRA ORTEGOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2025004676
MO
1223G0001X
General Practice Dentistry
Primary
DN28976
FL
1223G0001X
General Practice Dentistry
DRPM2407
FL
Other
Enumeration date
03/31/2022
Last updated
08/06/2026
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