Organization
L. STEPHEN ORTEGO D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LLOYD STEPHEN ORTEGO D.D.S. (PRESIDENT)
(318) 640-1470
Entity
Organization
Contact information
Practice address
5813 MONROE HWY, BALL, LA 71405-3362
(318) 640-1470
(318) 640-4700
Mailing address
PO BOX 766, BALL, LA 71405-0766
(318) 640-1470
(318) 640-4700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3996
LA
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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