Individual
LUZ E MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
973 W 7TH ST APT C, SAN PEDRO, SAN PEDRO, CA 90731-3075
(310) 808-7494
Mailing address
973 W 7TH ST APT C, SAN PEDRO, SAN PEDRO, CA 90731-3075
(310) 808-7494
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA65179
CA
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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