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Individual

DR. MIGUEL ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
350 N CLARK ST STE 600, CHICAGO, IL 60654
(626) 315-2028
Mailing address
350 N CLARK ST STE 600, CHICAGO, IL 60654
(626) 315-2028

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.029955
IL

Other

Enumeration date
08/27/2014
Last updated
08/27/2014
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