| NPI | 1043935596 |
|---|---|
| Doing Business As | ORTEGA DENTAL |
| Entity Type | Organization |
| Authorized Contact | BROC FLORES Owner 904-553-8114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2022-10-06 |