Individual
DR. EFREN ORMAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5811 E BROADWAY AVE, TAMPA, FL 33619-2813
(423) 504-3171
Mailing address
1702 W CLEVELAND ST, APT 112, TAMPA, FL 33606-1817
(423) 504-3171
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22125
FL
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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