Individual
MATTHEW MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7101 PROSPECT PL NE, ALBUQUERQUE, NM 87110-4313
(505) 219-4548
Mailing address
76 VIA SEDILLO, TIJERAS, NM 87059-7845
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4696
NM
Other
Enumeration date
06/29/2017
Last updated
10/05/2021
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