| Irma Perez Martinez Dmd Ms Inc | |
|
2 James Way Suite 201 Pismo Beach CA 93449-4973 | |
| (805) 773-1600 | |
| Not Available |
| Full Name | Irma Perez Martinez Dmd Ms Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2 James Way, Pismo Beach, California |
| Authorized Official Name and Position | Irma Perez Martinez (PRESIDENT) |
| Authorized Official Contact | 8057731600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irma Perez Martinez Dmd Ms Inc Po Box 2752 Paso Robles CA 93447-2752 Ph: (805) 773-1600 | Irma Perez Martinez Dmd Ms Inc 2 James Way Suite 201 Pismo Beach CA 93449-4973 Ph: (805) 773-1600 |
| NPI Number | 1508131376 |
|---|---|
| Provider Enumeration Date | 03/13/2012 |
| Last Update Date | 03/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508131376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (California) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (California) | Secondary |
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