Organization
TALLAHASSEE ORAL AND MAXILLOFACIAL SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO ORTIZ DMD, MD (ORAL AND MAXILLOFACIAL SURGEON)
(787) 556-6039
Entity
Organization
Contact information
Practice address
3665 COOLIDGE CT STE 102, TALLAHASSEE, FL 32311-7894
(850) 431-6725
(850) 431-6859
Mailing address
3665 COOLIDGE CT STE 102, TALLAHASSEE, FL 32311-7894
(850) 431-6725
(850) 431-6859
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
06/04/2021
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