Individual
CARMEN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-5046
Mailing address
423 1/2 NW 22ND ST, OKLAHOMA CITY, OK 73103-1503
(405) 754-0244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7057
OK
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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