Individual
DR. ALFREDO VELASCO MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3445 HENDERSON DR, JACKSONVILLE, NC 28546-5233
(910) 347-1283
(910) 347-2153
Mailing address
COMMANDING OFFICER, 2D DENBN/NDC, PSC 20130 315 MCHUGH BLVD, CAMP LEJEUNE, NC 28542-0130
(910) 451-2208
(910) 451-8479
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
104078
CA
1223G0001X
General Practice Dentistry
Primary
13316
NC
Other
Enumeration date
10/07/2019
Last updated
06/12/2023
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