Individual
MRS. CRISTINA MARTINEZ MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2954 CARRINGTON RD, FORT BLISS, TX 79916
(703) 813-8156
(866) 727-1214
Mailing address
277 S WASHINGTON ST, SUITE 300, ANNANDALE, VA 22314
(703) 813-8156
(866) 727-1214
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
63355
TX
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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