Individual
MICHAEL KALE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10590 ENDURING FREEDOM DR, FORT DRUM, NY 13602-5503
(915) 479-0493
Mailing address
10590 ENDURING FREEDOM DR, FORT DRUM, NY 13602-5503
(915) 479-0493
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37607
TX
Other
Enumeration date
08/02/2021
Last updated
09/06/2022
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