Individual
DR. BIANCA ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1550 EDISON ST, DALLAS, TX 75207-3705
(830) 513-4010
Mailing address
4810 CEDAR SPRINGS RD APT 2113, DALLAS, TX 75219-1272
(830) 513-4010
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32964
TX
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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