Individual
JULIE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9745 LAUREL CANYON BLVD STE A, ARLETA, CA 91331-4115
(818) 435-3106
Mailing address
8523 BLANCHARD AVE, FONTANA, CA 92335-3901
(909) 749-2422
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
81162
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81162
—
CA
Enumeration date
05/27/2020
Last updated
05/27/2020
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