Individual
MR. LUIS ALBERTO ORDONEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1514 1ST ST N, WINTER HAVEN, FL 33881-2476
(863) 292-4280
(863) 292-4293
Mailing address
47 5TH ST NW, WINTER HAVEN, FL 33881-4672
(863) 268-7850
(863) 268-7899
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN12940
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073737200
—
FL
Enumeration date
05/25/2006
Last updated
11/05/2018
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