Organization
WALNUT AVENUE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIE LYNN MARTINEZ DDS (OWNER)
(619) 291-1181
Entity
Organization
Contact information
Practice address
305 WALNUT AVE, SAN DIEGO, CA 92103-4904
(619) 291-1181
Mailing address
305 WALNUT AVE, SAN DIEGO, CA 92103-4904
(619) 291-1181
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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