Organization
DAVID J. MARTINEZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JAMES MARTINEZ DDS (DENTIST)
(505) 314-0645
Entity
Organization
Contact information
Practice address
4263 MONTGOMERY BLVD NE, SUITE 100, ALBUQUERQUE, NM 87109-6747
(505) 314-0645
Mailing address
4263 MONTGOMERY BLVD NE, SUITE 100, ALBUQUERQUE, NM 87109-6747
(505) 314-0645
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2427
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11739509
—
NM
Enumeration date
11/03/2008
Last updated
11/03/2008
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