# ALFONSO E. MARTINEZ D.D.S. A PROFESSIONAL CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** CORPORATION
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457572166
- **Authorized official:** DR. ALFONSO EDGAR MARTINEZ (PRESIDENT)
- **Authorized official phone:** (626) 575-7565

## Contact information

- **Practice address:** 11733 VALLEY BLVD, EL MONTE, CA 91732-3073
- **Practice address phone:** (626) 575-7565
- **Practice address fax:** (626) 575-0240
- **Mailing address:** 11733 VALLEY BLVD, EL MONTE, CA 91732-3073
- **Mailing address phone:** (626) 575-7565
- **Mailing address fax:** (626) 575-0240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 25314 | CA | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 12/10/2020