| John H. Ortiz-luis, Dmd, Inc. | |
|
25528 The Old Rd Stevenson Ranch CA 91381-1705 | |
| (661) 255-9646 | |
| (661) 255-9657 |
| Full Name | John H. Ortiz-luis, Dmd, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 25528 The Old Rd, Stevenson Ranch, California |
| Authorized Official Name and Position | John H. Ortiz-luis (PRESIDENT/OWNER) |
| Authorized Official Contact | 6612559646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John H. Ortiz-luis, Dmd, Inc. 25528 The Old Rd Stevenson Ranch CA 91381-1705 Ph: (661) 255-9646 | John H. Ortiz-luis, Dmd, Inc. 25528 The Old Rd Stevenson Ranch CA 91381-1705 Ph: (661) 255-9646 |
| NPI Number | 1659811883 |
|---|---|
| Provider Enumeration Date | 03/07/2017 |
| Last Update Date | 03/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659811883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 50502 (California) | Primary |
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