Individual
DR. JAN N ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
700 E CAMPBELL RD STE 230, RICHARDSON, TX 75081-2042
(972) 479-1200
(972) 479-1203
Mailing address
700 E CAMPBELL RD STE 230, RICHARDSON, TX 75081-2042
(972) 479-1200
(972) 479-1203
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
26164
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287540301
—
TX
Enumeration date
08/28/2007
Last updated
10/21/2022
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