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Individual

DR. JOSE ORLANDO MALDONADO-ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, PHD

Contact information

Practice address
450 SYNDICATE ST N, SAINT PAUL, MN 55104-4107
(651) 254-7373
Mailing address
13910 EMBER WAY, APPLE VALLEY, MN 55124-9247
(787) 557-6769

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13988
MN

Other

Enumeration date
05/14/2018
Last updated
11/30/2022
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