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Individual
JUAN GERARDO MARTINEZ
Active
Individual
JUAN GERARDO MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS101781
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/06/2016
Last updated
10/19/2020
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