Individual
LORI MARTINEZ-RUBIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 SECRET RAVINE PKWY STE 101, ROSEVILLE, CA 95661-6045
(916) 781-3743
Mailing address
1421 SECRET RAVINE PKWY STE 101, ROSEVILLE, CA 95661-6045
(916) 781-3743
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
111730
CA
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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