Organization
CENTRAL FLORIDA DENTAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS RODOLFO ORTIZ DDS (PRESIDENT)
(407) 654-4024
Entity
Organization
Contact information
Practice address
16215 STATE ROAD 50 STE 102, CLERMONT, FL 34711-6019
(407) 654-4024
(407) 654-4027
Mailing address
16215 STATE ROAD 50 STE 102, CLERMONT, FL 34711-6019
(407) 654-4024
(407) 654-4027
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN16410
FL
Other
Enumeration date
03/21/2007
Last updated
07/25/2011
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