Individual
IRMA DEL CARMEN PEREZ MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
2 JAMES WAY, SUITE 201, PISMO BEACH, CA 93449-4973
(805) 773-1600
Mailing address
2 JAMES WAY, SUITE 201, PISMO BEACH, CA 93449-4973
(805) 773-1600
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
57956
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
57956
CA
Other
Enumeration date
09/17/2009
Last updated
08/12/2011
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