Nelson Enrique Andujar Ortiz, DDS
Dentist, General Practice in Wesley Chapel, FL. Individual provider (NPI-1).
NPI number1801547989
StatusActive
Last updated in NPPESJan 11, 2022
Details
- NPI
- 1801547989
- Entity type
- Individual (NPI-1)
- Name
- Nelson Enrique Andujar Ortiz
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 11, 2022
- Certification date
- Sep 9, 2021
- Last updated
- Jan 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN26332 | FL | Yes |
Practice location
28516 State Road 54Wesley Chapel, FL 33543
Phone 813-345-3829
Mailing address
4645 Ancona WayWesley Chapel, FL 33543-6637
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