Organization
MARTINEZ FAMILY DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LETICIA MARTINEZ D.D.S. (DENTIST)
(773) 522-2929
Entity
Organization
Contact information
Practice address
3915 W 26TH ST, CHICAGO, IL 60623-3704
(773) 522-2929
(773) 522-2930
Mailing address
3915 W 26TH ST, CHICAGO, IL 60623-3704
(773) 522-2929
(773) 522-2930
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027035
IL
Other
Enumeration date
08/26/2010
Last updated
09/23/2011
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