Individual
DANIEL LEVI MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1733 MAIN STREET, SECURITY, CO 80911-1150
(719) 390-4946
(719) 390-4947
Mailing address
1733 MAIN STREET, SECURITY, CO 80911-1150
(719) 390-4946
(719) 390-4947
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
104692DENTIST
CO
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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