Individual
ALMA LILIA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL ASSISTANT
Contact information
Practice address
4149 TWEEDY BLVD STE J, SOUTH GATE, CA 90280-6167
(323) 567-3333
(323) 567-2929
Mailing address
1436 E 53RD ST, LOS ANGELES, CA 90011-4906
(323) 906-4574
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
4490748
CA
Other
Enumeration date
01/18/2010
Last updated
03/05/2010
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