Individual
DR. KENIA D MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 E 40TH ST, SUITE 104, NEW YORK, NY 10016-1801
(212) 682-2965
Mailing address
570 NORTH AVE, APT I, FORT LEE, NJ 07024-2573
(646) 290-1571
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50056193
NY
Other
Enumeration date
05/25/2011
Last updated
08/13/2012
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