Organization
IRMA PEREZ MARTINEZ DMD MS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRMA PEREZ MARTINEZ DMD (PRESIDENT)
(805) 773-1600
Entity
Organization
Contact information
Practice address
2 JAMES WAY, SUITE 201, PISMO BEACH, CA 93449-4973
(805) 773-1600
Mailing address
PO BOX 2752, PASO ROBLES, CA 93447-2752
(805) 773-1600
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
CA
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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