Organization
MARIAM BARIKBIN, DMD, PA
Active
Other names
Ortega Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIAM BARIKBIN DMD (OWNER)
(904) 389-3694
Entity
Organization
Contact information
Practice address
4114 HERSCHEL ST STE 106, JACKSONVILLE, FL 32210-2200
(904) 389-3694
(904) 389-0131
Mailing address
4114 HERSCHEL ST STE 106, JACKSONVILLE, FL 32210-2200
(904) 389-3694
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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