Organization
ANDREA MARTINEZ LLC
Active
Other names
Southern Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA MARTINEZ DMD (OWNER DOCTOR)
(602) 481-4478
Entity
Organization
Contact information
Practice address
4731 E SOUTHERN AVE, PHOENIX, AZ 85042-4150
(602) 481-4478
Mailing address
1423 E YUCCA ST, PHOENIX, AZ 85020-1424
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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