Individual
GINALYN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5145 WEATHER ROCK LN, FORT WORTH, TX 76179-7311
(318) 791-4502
Mailing address
5145 WEATHER ROCK LN, FORT WORTH, TX 76179-7311
(318) 791-4502
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27380
TX
225100000X
Physical Therapist
1161790
TX
Other
Enumeration date
01/06/2011
Last updated
11/27/2011
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