| Martinez Dental Office | |
|
2228 W 7th St Los Angeles CA 90057-4002 | |
| (213) 381-7400 | |
| Not Available |
| Full Name | Martinez Dental Office |
|---|---|
| Speciality | Dentist |
| Location | 2228 W 7th St, Los Angeles, California |
| Authorized Official Name and Position | Speed Fry (MANAGER) |
| Authorized Official Contact | 2133817400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martinez Dental Office 2228 W 7th St Los Angeles CA 90057-4002 Ph: (213) 381-7400 | Martinez Dental Office 2228 W 7th St Los Angeles CA 90057-4002 Ph: (213) 381-7400 |
| NPI Number | 1477845113 |
|---|---|
| Provider Enumeration Date | 05/13/2011 |
| Last Update Date | 05/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477845113 | NPI | - | NPPES |
| B20546-07 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 20546 (California) | Primary |
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