| NPI | 1689158230 |
|---|---|
| Former Legal Business Name | ANGELICA R ORTIZ |
| Entity Type | Organization |
| Authorized Contact | ANGELICA R ORTIZ Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-09-19 |