Organization
L MARTINEZ P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LETICIA MARTINEZ DDS (OWNER)
(773) 522-2929
Entity
Organization
Contact information
Practice address
6144 S PULASKI RD, CHICAGO, IL 60629-4628
(773) 522-2929
Mailing address
4308 W 26TH ST, CHICAGO, IL 60623-4338
(773) 522-2929
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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