Individual
DR. CHRIS RUDOLPH MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9514 WHITTIER BLVD, PICO RIVERA, CA 90660-2835
(562) 942-2345
(562) 942-2495
Mailing address
9514 WHITTIER BLVD, PICO RIVERA, CA 90660-2835
(562) 942-2345
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
56142
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71040F
FHC
CA
01
—
EAP70324F
EAPC
CA
Enumeration date
09/27/2007
Last updated
10/12/2023
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