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Organization
MARTINEZ DENTAL CORPORATION
Active
Organization
MARTINEZ DENTAL CORPORATION
Active
Other names
California Smile Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKQUELINE M MARTINEZ DDS (PRESIDENT)
(909) 556-2820
Entity
Organization
Contact information
Practice address
1060 W FOOTHILL BLVD, UPLAND, CA 91786-3730
(909) 373-4600
(909) 373-4900
Mailing address
1060 W FOOTHILL BLVD, UPLAND, CA 91786-3730
(909) 373-4600
(909) 373-4900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41955
CA
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
01/04/2014
Last updated
08/07/2024
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