Individual
DR. AIDA M SOLIVAN ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, DMD, MPH
Contact information
Practice address
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC, JBSA LACKLAND, TX 78236-9908
(210) 671-9537
Mailing address
1100 WILFORD HALL LOOP, BLDG 4554, 59 MDW/SGHC, JBSA LACKLAND, TX 78236-9908
(210) 292-0722
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
24867
TX
Other
Enumeration date
02/06/2006
Last updated
12/28/2020
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