| David J. Martinez | |
|
4263 Montgomery Blvd Ne Suite 100 Albuquerque NM 87109-6747 | |
| (505) 314-0645 | |
| Not Available |
| Full Name | David J. Martinez |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4263 Montgomery Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | David James Martinez (DENTIST) |
| Authorized Official Contact | 5053140645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David J. Martinez 4263 Montgomery Blvd Ne Suite 100 Albuquerque NM 87109-6747 Ph: (505) 314-0645 | David J. Martinez 4263 Montgomery Blvd Ne Suite 100 Albuquerque NM 87109-6747 Ph: (505) 314-0645 |
| NPI Number | 1649423773 |
|---|---|
| Provider Enumeration Date | 11/03/2008 |
| Last Update Date | 11/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649423773 | NPI | - | NPPES |
| 11739509 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2427 (New Mexico) | Primary |
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