Individual
STACY MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10405 E NORTHWEST HWY, SUITE 301, DALLAS, TX 75238-4619
(214) 343-2331
(214) 343-0515
Mailing address
10405 E NORTHWEST HWY, SUITE 301, DALLAS, TX 75238-4619
(214) 343-2331
(214) 343-0515
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10188
TX
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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