Organization
AQUILEO MARTINEZ D.D.S., INC.
Active
Parent organization
SAN LUIS DENTAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAN LUIS DENTAL CENTER
Authorized official
AQUILEO MARTINEZ DE LA CRUZ DDS (OWNER)
(323) 261-4838
Entity
Organization
Contact information
Practice address
7500 ROSECRANS AVE, PARAMOUNT, CA 90723-2506
(562) 634-9142
(562) 634-5896
Mailing address
932 W YORKTOWN AVE, MONTEBELLO, CA 90640-2555
(323) 721-7178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42362
CA
Other
Enumeration date
03/15/2007
Last updated
06/21/2012
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