Organization
MARTINEZ & ZERMENO APDC
Active
Other names
Latin American Dental Office
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAUDIA MONICA URIBE (OFFICE MANAGER)
(909) 790-4478
Entity
Organization
Contact information
Practice address
12136 4TH ST, YUCAIPA, CA 92399
(909) 790-4478
(909) 790-4479
Mailing address
12136 4TH ST, YUCAIPA, CA 92399
(909) 790-4478
(909) 790-4479
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9411401
DENTICAL
CA
Enumeration date
03/05/2007
Last updated
02/24/2010
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