Individual
BERTILA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
14600 SE 176TH ST #V4, RENTON, WA 98058
(480) 241-2129
Mailing address
14600 SE 176TH ST #V4, RENTON, WA 98058
(480) 241-2129
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HL 00008008
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HL 00008008
DENTAL HYGIENIST
WA
Enumeration date
10/10/2013
Last updated
10/10/2013
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