DR. Richard Dale Martinez, DDS

NPI #1689705782 in Slc, Utah

Provider Information

NPI Number: 1689705782
Entity Type: Individual
Name: DR. Richard Dale Martinez, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Mar 8, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 2936 HIGHLAND DR STE 101
City: Slc
State: Utah
ZIP Code: 84106-3583
Phone: (801) 467-6555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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