Organization
ORTEGA ORTHODONTICS, PLLC
Active
Other names
Ortega Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM VAUGHN HOLLAND D.M.D., M.S. (OWNER)
(904) 388-4600
Entity
Organization
Contact information
Practice address
5435 ORTEGA BLVD, SUITE #2, JACKSONVILLE, FL 32210-8435
(904) 388-4600
(904) 389-9499
Mailing address
5435 ORTEGA BLVD, SUITE #2, JACKSONVILLE, FL 32210-8435
(904) 388-4600
(904) 389-9499
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN18644
FL
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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