Individual
EDMUNDO MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1002 N CHURCH ST STE 206, GREENSBORO, NC 27401-1448
(336) 378-9433
(336) 378-9796
Mailing address
4907 SETTER CT, JAMESTOWN, NC 27282-8655
(336) 323-1499
(336) 378-9796
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
6414
NC
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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