Gomez, Martha L

Gomez, Martha L is an sole proprietor health care provider with primary practice located at 1130 Coffee Rd Suite 9A, Modesto CA 95355-4228. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is her primary health care specialty. Gomez, Martha L can be contacted via phone (209) 522-8783.

Contact Information

Primary practice address
1130 Coffee Rd Suite 9A Modesto CA 95355-4228
Phone: (209) 522-8783
Fax: (209) 526-1470
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 50260 California
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 50260 California

Profile Details

NPI number 1013080902
LBN Legal business name Gomez, Martha L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2006
Last updated Mar 5th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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