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Individual

JAIME MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6001
Mailing address
PO BOX 160, HWY 491 NORTH, SHIPROCK, NM 87420-0160

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
D009545
AZ

Other

Enumeration date
09/01/2016
Last updated
09/01/2016
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