Individual
MARIA GABRIELA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1 KNEELAND ST # 1242, BOSTON, MA 02111-1527
(617) 636-6591
Mailing address
62 BOYLSTON ST APT 810, BOSTON, MA 02116-4787
(857) 200-7551
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL11768
MA
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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