| NPI | 1619477668 |
|---|---|
| Doing Business As | TALLAHASSEE ORAL AND MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | RICARDO M. ORTIZ Oral And Maxillofacial Surgeon 787-556-6039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |