Organization
ALFONSO E. MARTINEZ D.D.S. A PROFESSIONAL CORPORATION
Active
Other names
CORPORATION
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFONSO EDGAR MARTINEZ (PRESIDENT)
(626) 575-7565
Entity
Organization
Contact information
Practice address
11733 VALLEY BLVD, EL MONTE, CA 91732-3073
(626) 575-7565
(626) 575-0240
Mailing address
11733 VALLEY BLVD, EL MONTE, CA 91732-3073
(626) 575-7565
(626) 575-0240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25314
CA
Other
Enumeration date
05/01/2007
Last updated
12/10/2020
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