Individual
DR. CAMILLE M ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
919 E MAIN ST, BARSTOW, CA 92311-2407
(760) 256-2425
Mailing address
4027 NOOK WAY APT D, LAS VEGAS, NV 89103-2550
(702) 499-3242
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
44973
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D44973
—
CA
Enumeration date
05/29/2007
Last updated
07/09/2007
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