Individual
DR. ANDRES RUDOLFO MARTINEZ II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
134 N 23RD AVE, MELROSE PARK, IL 60160-3635
(708) 769-2224
Mailing address
134 N 23RD AVE, MELROSE PARK, IL 60160-3635
(708) 769-2224
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
019035232
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2024
Last updated
10/01/2024
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