Individual
INES ALEJANDRA ORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
6600 WEST 12TH AVENUE., HIALEAH, FL 33012
(305) 788-2613
Mailing address
1723 SW 2ND AVE UNIT 802., MIAMI, FL 33129
(305) 788-2613
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
55321
CA
1223G0001X
General Practice Dentistry
Primary
20345
FL
Other
Enumeration date
04/03/2009
Last updated
12/30/2014
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