Individual
JOHN X CORDOBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
90 FOX RIDGE CT, DEBARY, FL 32713-2719
(386) 668-6644
(386) 668-5539
Mailing address
90 FOX RIDGE CT, DEBARY, FL 32713-2719
(386) 668-6644
(386) 668-5539
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12482
FL
Other
Enumeration date
02/27/2007
Last updated
02/13/2009
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