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Organization
DELAWARE TONGUE TIE CENTER
Active
Organization
DELAWARE TONGUE TIE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARDO MARTINEZ DMD (PEDIATRIC DENTISTRY)
(954) 330-1525
Entity
Organization
Contact information
Practice address
625 N DUPONT BLVD, MILFORD, DE 19963-1099
(954) 330-1525
Mailing address
628 SPRING HOLLOW DR, MIDDLETOWN, DE 19709-7817
(305) 321-5162
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
NULL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
2080S0012X
Pediatric Sleep Medicine Physician
Primary
—
NULL
2080S0012X
Pediatric Sleep Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
NULL
2251P0200X
Pediatric Physical Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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