Individual
ADRIANA VANESSA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15350 NORDHOFF ST STE A, NORTH HILLS, CA 91343-2234
(310) 820-9933
Mailing address
15350 NORDHOFF ST STE A, NORTH HILLS, CA 91343-2234
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
81293
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81293
—
CA
Enumeration date
09/03/2020
Last updated
09/03/2020
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