Most Relevant Information
Provider Data
| NPI Number: | 1003269077 |
| Provider Name: | EFREN ORMAZA DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 22125 |
Most Important Dates
| Enumeration Date: | 07/14/2016 |
| Last Updated: | 07/14/2016 |
Provider Practice Location
5811 E BROADWAY AVE
TAMPA
FL
336192813
Practice Location Phone/Fax
| Phone: | 4235043171 |
| Fax: |
Provider Mailing Location
1702 W CLEVELAND ST
APT 112
TAMPA
FL
336061817
Provider Mailing Phone/Fax
| Phone: | 4235043171 |
| Fax: |