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Individual

AUDRA MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
4120 BARBARA LOOP SE, RIO RANCHO, NM 87124-1000
(505) 892-8086
(505) 892-7976
Mailing address
2436 TYLER LOOP NE, RIO RANCHO, NM 87144-6571
(505) 401-0846
(505) 925-4030

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4645
NM

Other

Enumeration date
02/08/2016
Last updated
07/28/2023
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