Individual
MRS. JENNIFER ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5270 W BASELINE RD, 130, LAVEEN, AZ 85339-6959
(602) 237-8182
(602) 237-3224
Mailing address
6042 N 36TH DR, PHOENIX, AZ 85019-1708
(602) 316-3357
(602) 466-3653
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6398
AZ
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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