Organization
DAVID M MARTINEZ
Active
Other names
LASA Dental Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MICHAEL MARTINEZ DMD (DENTIST)
(786) 385-8110
Entity
Organization
Contact information
Practice address
2023 ALTAMONT AVE STE 108, FORT MYERS, FL 33901-3280
(786) 385-8110
Mailing address
2250 MCGREGOR BLVD APT 1101, FORT MYERS, FL 33901-3447
(786) 385-8110
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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