Individual
CARLY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5670 WILSHIRE BLVD STE 1700, LOS ANGELES, CA 90036-5626
(310) 529-1127
Mailing address
5670 WILSHIRE BLVD STE 1700, LOS ANGELES, CA 90036-5626
(310) 529-1127
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS104018
CA
Other
Enumeration date
06/11/2018
Last updated
02/15/2020
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