Organization
AIRLTE DENTAL OF ELGIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES D MARTINEZ DMD (DENTIST/OWNER)
(847) 214-1324
Entity
Organization
Contact information
Practice address
40 N AIRLITE ST, SUITE 1A, ELGIN, IL 60123-4965
(847) 214-1324
(847) 214-1562
Mailing address
40 N AIRLITE ST, SUITE 1A, ELGIN, IL 60123-4965
(847) 214-1324
(847) 214-1562
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019022943
IL
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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