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Individual

DR. FABIOLA D ORTEGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
8805 SW 144TH ST, PALMETTO BAY, FL 33176-7218
(305) 253-6944
Mailing address
7032 SW 154TH CT, MIAMI, FL 33193-2113
(305) 586-2328

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
14717
MD
1223P0221X
Pediatric Dentistry
Primary
DN19570
FL

Other

Enumeration date
04/27/2010
Last updated
02/02/2012
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