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Individual

MIGUEL MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
505 N. PIEDRAS STREET, ATTN MS LAURA PORTER, EL PASO, TX 79920-5001
(915) 568-5935
(915) 568-5174
Mailing address
505 N. PIEDRAS STREET, ATTN MS LAURA PORTER, EL PASO, TX 79920-5001
(915) 568-5935
(915) 568-5174

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
2713
PR
1223E0200X
Endodontics
Primary
25427
TX

Other

Enumeration date
08/31/2006
Last updated
02/15/2011
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