Individual
AQUILEO MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1400 W WHITTIER BLVD, MONTEBELLO, CA 90640-4603
(323) 530-0296
Mailing address
1400 W WHITTIER BLVD, MONTEBELLO, CA 90640-4603
(323) 530-0296
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42362
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649337239
—
CA
Enumeration date
01/02/2007
Last updated
07/21/2022
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