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Individual

MRS. ELSA MARY MARTINEZ HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
2555 COLLINS AVE # C3, MIAMI BEACH, FL 33140-4723
(305) 672-9698
Mailing address
18240 MEDITERRANEAN BLVD APT 1105, HIALEAH, FL 33015-5721
(786) 203-9706

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
39020000X
CA
122300000X
Dentist
Primary
27960
FL

Other

Enumeration date
04/24/2023
Last updated
07/11/2023
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