| Andrea Martinez Llc | |
|
4731 E Southern Ave Phoenix AZ 85042-4150 | |
| (602) 481-4478 | |
| Not Available |
| Full Name | Andrea Martinez Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4731 E Southern Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Andrea Martinez (OWNER DOCTOR) |
| Authorized Official Contact | 6024814478 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Martinez Llc 1423 E Yucca St Phoenix AZ 85020-1424 Ph: () - | Andrea Martinez Llc 4731 E Southern Ave Phoenix AZ 85042-4150 Ph: (602) 481-4478 |
| NPI Number | 1629678602 |
|---|---|
| Provider Enumeration Date | 10/28/2020 |
| Last Update Date | 10/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629678602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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