Individual
JACQUELINE ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1298 N DIXIE FWY, NEW SMYRNA BEACH, FL 32168-6068
(386) 428-2958
Mailing address
1298 N DIXIE FWY, NEW SMYRNA BEACH, FL 32168-6068
(386) 428-2958
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN15720
FL
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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