Martinez Dental PC

NPI #1003088006 in Chicago, Illinois

Provider Information

NPI Number: 1003088006
Entity Type: Organization
Organization Name: Martinez Dental PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 31, 2008
Last Updated: Jul 20, 2010

Practice Location

Address: 3915 W 26TH ST
City: Chicago
State: Illinois
ZIP Code: 60623
Phone: (773) 522-2929

Authorized Official

Name: DR. LETICIA MARTINEZ, DDS
Title: DENTIST
Phone: (773) 522-2929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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