Organization
DELAWARE PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARDO MARTINEZ DMD (PEDIATRIC DENTIST)
(954) 330-1525
Entity
Organization
Contact information
Practice address
625 N DUPONT BLVD, MILFORD, DE 19963-1099
(954) 330-1525
Mailing address
117 TUSCANY DR, MIDDLETOWN, DE 19709-7856
(954) 330-1525
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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