Individual
GUSTAVO A MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3559 S FEDERAL HWY APT D, BOYNTON BEACH, FL 33435-8696
(786) 389-1709
Mailing address
3559 S FEDERAL HWY APT D, BOYNTON BEACH, FL 33435-8696
(786) 389-1709
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21727
FL
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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