Individual
LESTER MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1373 W 40TH ST, HIALEAH, FL 33012-4780
(786) 246-0684
Mailing address
1373 W 40TH ST, HIALEAH, FL 33012-4780
(786) 246-0684
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN24073
FL
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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