DIEGO OMAR GARCIA-ORTEGA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

ACTIVE

Business

Title

DDS

First Name

DIEGO

Middle

OMAR

Last Name

GARCIA-ORTEGA

Business Name

DIEGO OMAR GARCIA-ORTEGA DDS

Original Issue Date

12/15/2024

Effective Date

12/15/2024

Expiration Date

09/30/2027

City

GRAND RAPIDS

State

Zip

49503

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2025