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Organization
DR AQUILEO MARTINEZ DENTAL OFFICE INC
Active
Organization
DR AQUILEO MARTINEZ DENTAL OFFICE INC
Active
Other names
KIDS & FAMILY DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
AQUILEO MARTINEZ DDS42362 (PRESIDENT)
(323) 799-5576
Entity
Organization
Contact information
Practice address
1400 W WHITTIER BLVD, MONTEBELLO, CA 90640-4603
(323) 530-0296
Mailing address
1400 W WHITTIER BLVD, MONTEBELLO, CA 90640-4603
(323) 530-0296
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS42362
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295867414
—
CA
05
—
1649337239
—
CA
05
—
1659405454
—
CA
Enumeration date
10/02/2017
Last updated
10/02/2017
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