Individual
MATTHEW ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTAL HYGIENIST
Contact information
Practice address
5439 RAY ELLISON BLVD, SAN ANTONIO, TX 78242-2219
(210) 922-7000
(210) 923-7929
Mailing address
3750 COMMERCIAL AVE, SAN ANTONIO, TX 78221-3117
(210) 922-7000
(210) 923-7929
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
18357
TX
Other
Enumeration date
11/27/2017
Last updated
10/18/2018
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