Organization
LILIA MARTINEZ D.D.S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILI MARTINEZ (PRESIDENT)
(213) 484-1500
Entity
Organization
Contact information
Practice address
176 S ALVARADO ST, 204, LOS ANGELES, CA 90057-2218
(213) 484-1500
Mailing address
176 S ALVARADO ST, 204, LOS ANGELES, CA 90057-2218
(213) 484-1500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
41113
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G93857-01
—
CA
Enumeration date
05/15/2007
Last updated
02/18/2015
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