DR. Mark Gregory Ortiz, D.D.S.
NPI #1174567671 in Clarksburg, West Virginia
Provider Information
- NPI Number
- 1174567671
- Entity Type
- Individual
- Name
- DR. Mark Gregory Ortiz, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jun 15, 2006
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 432 W MAIN ST
- City
- Clarksburg
- State
- West Virginia
- ZIP Code
- 26301-2817
- Phone
- (304) 622-9837
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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