Dr. Aida M Solivan Ortiz, BS, DMD, MPH
Dentist, Dental Public Health in Jbsa Lackland, TX. Individual provider (NPI-1).
NPI number1902878747
StatusActive
Last updated in NPPESDec 28, 2020
Details
- NPI
- 1902878747
- Entity type
- Individual (NPI-1)
- Name
- Dr. Aida M Solivan Ortiz
- Credential
- BS, DMD, MPH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2006
- Certification date
- Dec 28, 2020
- Last updated
- Dec 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223D0001X | Dentist, Dental Public Health | 24867 | TX | Yes |
Practice location
1100 Wilford Hall Loop, Bldg 4554Attn: 59 Mdw/Sghc
Jbsa Lackland, TX 78236-9908
Phone 210-671-9537
Mailing address
1100 Wilford Hall Loop, Bldg 455459 Mdw/Sghc
Jbsa Lackland, TX 78236-9908
Phone 210-292-0722
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