Individual
MRS. MARGARET ANTOINETTE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, BS
Contact information
Practice address
211 NORTH PINE, CHAMA, NM 87520
(505) 156-2901
(505) 756-2821
Mailing address
211 NORTH PINE AVENUE, P O BOX 1186, CHAMA, NM 87520
(505) 156-2901
(505) 756-2821
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH 1522
NM
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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