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Individual

DR. WANDA I ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
209 AVE MUNOZ RIVERA, SUITE 1410 POPULAS CENTER PLAZA, SAN JUAN, PR 00918
(787) 274-1741
(787) 274-1776
Mailing address
209 AVE MUNOZ RIVERA, SUITE 1410 POPULAS CENTER PLAZA, SAN JUAN, PR 00918
(787) 274-1741
(787) 274-1776

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2102
PR

Other

Enumeration date
10/02/2006
Last updated
07/08/2007
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