| 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 |