Individual
MARIO JOSE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6601 SW 80TH ST, STE. 212, SOUTH MIAMI, FL 33143-4661
(305) 666-2068
(305) 666-0612
Mailing address
6601 SW 80TH ST, STE. 212, SOUTH MIAMI, FL 33143-4661
(305) 666-2068
(305) 666-0612
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN 15205
FL
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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