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 |