| Lilia Martinez D.d.s. Inc. | |
|
176 S Alvarado St 204 Los Angeles CA 90057-2218 | |
| (213) 484-1500 | |
| Not Available |
| Full Name | Lilia Martinez D.d.s. Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 176 S Alvarado St, Los Angeles, California |
| Authorized Official Name and Position | Lili Martinez (PRESIDENT) |
| Authorized Official Contact | 2134841500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lilia Martinez D.d.s. Inc. 176 S Alvarado St 204 Los Angeles CA 90057-2218 Ph: (213) 484-1500 | Lilia Martinez D.d.s. Inc. 176 S Alvarado St 204 Los Angeles CA 90057-2218 Ph: (213) 484-1500 |
| NPI Number | 1366658403 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 02/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366658403 | NPI | - | NPPES |
| G93857-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 41113 (California) | Primary |
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