Organization
AMY HERTZ, DMD AND MINTA LOPEZ-TORRES, DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE MATHERNE (OFFICE MANAGER)
(407) 328-9492
Entity
Organization
Contact information
Practice address
5030 WEST SR 46, SUITE 1018, SANFORD, FL 32771
(407) 328-9492
Mailing address
5030 SR 46 STE 1018, SANFORD, FL 32771-9247
(407) 328-9492
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 16360
FL
122300000X
Dentist
DN16478
FL
Other
Enumeration date
11/13/2014
Last updated
04/16/2015
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