Individual
MR. JOSE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
14525 LAKEWOOD BLVD, STE A, PARAMOUNT, CA 90723-3638
(562) 272-0000
Mailing address
11226 MEADOWLARK LN, BLOOMINGTON, CA 92316-3266
(909) 519-7887
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
24138
CA
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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