Individual
JAMES MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6801 RIDGE AVE, PHILADELPHIA, PA 19128-2446
(215) 483-6633
Mailing address
1808 GINNODO ST, PHILADELPHIA, PA 19130-1512
(302) 367-6915
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS044680
PA
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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