Individual
MRS. LILIA ANA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
120 S DENTON TAP RD STE 270-A, COPPELL, TX 75019-3297
(972) 393-2663
(972) 304-6362
Mailing address
828 QUAIL TER, MANSFIELD, TX 76063-1528
(469) 556-6729
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11371
TX
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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