Individual
VERNY MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2232 HENNEPIN AVE, MINNEAPOLIS, MN 55405-2737
(612) 377-6108
Mailing address
2232 HENNEPIN AVE, MINNEAPOLIS, MN 55405-2737
(612) 377-6108
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT40
MN
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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