Organization
JOSE LUIS BELTRAN DMD MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE BELTRAN (OWNER)
(818) 373-4573
Entity
Organization
Contact information
Practice address
11424 N 56TH ST, TEMPLE TERRACE, FL 33617-2237
(813) 373-4573
Mailing address
11424 N 56TH ST, TEMPLE TERRACE, FL 33617-2237
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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