Individual
MRS. MIRIAM M MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5431 MYRTLE AVE, RIDGEWOOD, NY 11385-3403
(718) 456-7600
(718) 821-3976
Mailing address
14026 FRANKLIN AVE, APT4A, FLUSHING, NY 11355-2664
(718) 305-8976
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
019247
NY
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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