Individual
GRISELLE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
987 E ASH ST, PIQUA, OH 45356-4133
(937) 778-0150
Mailing address
987 E ASH ST, PIQUA, OH 45356-4133
(937) 778-0150
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.021330
OH
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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