Organization
CITY TERRACE DENTAL
Active
Other names
City Terrace Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AQUILEO MARTINEZ DDS (OWNER)
(323) 528-1433
Entity
Organization
Contact information
Practice address
2407 N BROADWAY, LOS ANGELES, CA 90031-2218
(323) 221-3165
Mailing address
2407 N BROADWAY, LOS ANGELES, CA 90031-2218
(323) 221-3165
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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