Individual
DR. BRANDON T ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2121 SUMMIT ST, KANSAS CITY, MO 64108-2126
(816) 471-0900
Mailing address
2121 SUMMIT ST, KANSAS CITY, MO 64108-2126
(816) 983-5937
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2023021010
MO
1223G0001X
General Practice Dentistry
62132
KS
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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