| Martinez Dental Corporation | |
|
9922 Sierra Ave Fontana CA 92335-6721 | |
| (909) 822-4800 | |
| (909) 941-1785 |
| Full Name | Martinez Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 9922 Sierra Ave, Fontana, California |
| Authorized Official Name and Position | Jackqueline M Martinez (PRESIDENT) |
| Authorized Official Contact | 9095562820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martinez Dental Corporation 9922 Sierra Ave Fontana CA 92335-6721 Ph: (909) 822-4800 | Martinez Dental Corporation 9922 Sierra Ave Fontana CA 92335-6721 Ph: (909) 822-4800 |
| NPI Number | 1194146498 |
|---|---|
| Provider Enumeration Date | 01/04/2014 |
| Last Update Date | 01/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194146498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41955 (California) | Primary |
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