Individual
AMELIA L ORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1234 19TH ST NW STE 306, WASHINGTON, DC 20036-2468
(202) 293-7177
Mailing address
16729 MILLER LN, PARKTON, MD 21120-9775
(404) 804-6129
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DEN1001905
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
02/24/2015
Last updated
09/10/2018
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