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DR. JOHN H. ORTIZ-LUIS DDS
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1528136876
Individual Registrant:DR. JOHN H. ORTIZ-LUIS DDS
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
25528 THE OLD RD STEVENSON RANCH, CA 91381-1705 US
Tel: 661-255-9646 Fax: 661-255-9657
Tel: 661-255-9646 Fax: 661-255-9657
Contact information for business:
25528 THE OLD RD STEVENSON RANCH, CA 91381-1705 US
Tel: 661-255-9646 Fax: 661-255-9657
Tel: 661-255-9646 Fax: 661-255-9657
Registration Information:
NPI: 1528136876
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | CA | 50502 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
