Martinez, Daniel

Martinez, Daniel is an individual health care provider with primary practice located at 4444 Tweedy Blvd , South Gate CA 90280-6304. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Martinez, Daniel can be contacted via phone (323) 564-2444.

Contact Information

Primary practice address
4444 Tweedy Blvd South Gate CA 90280-6304
Phone: (323) 564-2444
Fax: (323) 249-7565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 46111 California

Profile Details

NPI number 1619023983
LBN Legal business name Martinez, Daniel
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jul 9th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619023983 NPPES
California MEDICAID D46111

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