Provider Demographics
NPI:1578755336
Name:KAZMIERSKI, ANA ORTIZ (DDS; MDS)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:ORTIZ
Last Name:KAZMIERSKI
Suffix:
Gender:F
Credentials:DDS; MDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:793 N. ALMA SCHOOL RD
Mailing Address - Street 2:STE.12
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224
Mailing Address - Country:US
Mailing Address - Phone:480-963-2804
Mailing Address - Fax:480-821-6695
Practice Address - Street 1:793 N. ALMA SCHOOL RD
Practice Address - Street 2:STE.12
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224
Practice Address - Country:US
Practice Address - Phone:480-963-2804
Practice Address - Fax:480-821-6695
Is Sole Proprietor?:No
Enumeration Date:2007-08-15
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD73571223X0400X
CA530931223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics