Individual
EDEYANIRA ALEXIS MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
41 ECHO RUN, IRVINE, CA 92614-7423
(970) 389-8591
Mailing address
41 ECHO RUN, IRVINE, CA 92614-7423
(970) 668-4040
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
964
CA
124Q00000X
Dental Hygienist
DH.002024778
CO
Other
Enumeration date
01/31/2023
Last updated
01/14/2024
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