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Individual

JOSE ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2701 OCEAN PARK BLVD STE 110, SANTA MONICA, CA 90405-5217
(424) 428-0008
Mailing address
2701 OCEAN PARK BLVD STE 110, SANTA MONICA, CA 90405-5217

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS103077
CA

Other

Enumeration date
05/09/2011
Last updated
02/20/2025
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