| NPI | 1922641083 |
|---|---|
| Doing Business As | ORTEGA FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARIAM BARIKBIN Owner 904-389-3694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |