DR. Martha A. Prudencio, DDS

NPI #1528124187 in Porterville, California

Provider Information

NPI Number: 1528124187
Entity Type: Individual
Name: DR. Martha A. Prudencio, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 560 W PUTNAM AVE
Address 2: SUTITE 2
City: Porterville
State: California
ZIP Code: 93257-3269
Phone: (559) 781-2770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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