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Individual

VIRGILIO ORTIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
AVE. ROBERTO CLEMENTE 50 BLK.111, VILLA CAROLINA, CAROLINA, PR 00985
(787) 757-0680
(787) 757-0680
Mailing address
BP19 CALLE 115, JARDINES DE COUNTRY CLUB, CAROLINA, PR 00983-2110
(787) 750-7179

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1032
PR

Other

Enumeration date
03/07/2007
Last updated
07/08/2007
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