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Individual
DR. JUAN CARLOS ORTIZ CEDENO
Active
Individual
DR. JUAN CARLOS ORTIZ CEDENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN27160
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0632423771340
DRIVER LICENSE
FL
Enumeration date
06/28/2022
Last updated
06/28/2022
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