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Organization
MARTINEZ DENTAL OFFICE
Active
Organization
MARTINEZ DENTAL OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPEED FRY (MANAGER)
(213) 381-7400
Entity
Organization
Contact information
Practice address
2228 W 7TH ST, LOS ANGELES, CA 90057-4002
(213) 381-7400
Mailing address
2228 W 7TH ST, LOS ANGELES, CA 90057-4002
(213) 381-7400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20546
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B20546-07
DENTI-CAL
CA
Enumeration date
05/13/2011
Last updated
05/13/2011
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