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Organization

MARTINEZ DENTAL PC

Active
Other names
UNIVERSAL DENTAL
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LETICIA MARTINEZ DDS (DENTIST)
(773) 522-2929
Entity
Organization

Contact information

Practice address
3915 W 26TH ST, CHICAGO, IL 60623
(773) 522-2929
(773) 522-2930
Mailing address
3915 W 26TH ST, CHICAGO, IL 60623
(773) 522-2929
(773) 522-2930

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027035
IL

Other

Enumeration date
03/31/2008
Last updated
07/20/2010
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