Organization
PHILLIP J. ORTIZ, A DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP JOHN ORTIZ DDS (PRESIDENT)
(951) 461-9024
Entity
Organization
Contact information
Practice address
40613 VIA DIAMANTE, MURRIETA, CA 92562-8504
(951) 461-9024
(951) 461-9025
Mailing address
40613 VIA DIAMANTE, MURRIETA, CA 92562-8504
(951) 461-9024
(951) 461-9025
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
30441
CA
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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