Individual
MRS. ELVIA MARTINEZ-AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
318 E BASIN RD, NEW CASTLE, DE 19720-4214
(302) 323-2700
Mailing address
16 MONTICELLO BLVD, NEW CASTLE, DE 19720-3404
(302) 322-4964
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1435728
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SAL119137224001
HIGHMARK DELAWARE BLUE CROSS BLUE SHIELD
DE
Enumeration date
07/08/2013
Last updated
07/08/2013
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