NPI | 1265845457 |
---|---|
Doing Business As | ORTEGA ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | WILLIAM VAUGHN HOLLAND Owner 904-388-4600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN18644) |
Enumeration Date | 2014-06-05 |
Last Update Date | 2014-06-05 |