Individual
DR. ALFREDO MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5900 HIATUS RD, #300, COOPER CITY, FL 33330-4532
(954) 805-6179
Mailing address
15001 EGAN LN, MIAMI LAKES, FL 33014-2715
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 15701
FL
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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