Individual
ASHLEY ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7526 MONTEREY ST, GILROY, CA 95020-5826
(408) 457-7101
Mailing address
3532 JERILYN DR, SAN JOSE, CA 95127-3407
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
106823
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/01/2020
Last updated
08/16/2021
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