Individual
YADIRA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
H5485
OR
125J00000X
Dental Therapist
Primary
DT0009
OR
Other
Enumeration date
06/22/2009
Last updated
01/29/2025
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