Individual
MARICRUZ MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5700 ARNOLD ST, TINKER AFB, OK 73145-8105
(405) 734-2113
Mailing address
5700 ARNOLD ST, TINKER AFB, OK 73145-8105
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0025458
TX
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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