Juan Gerardo Martinez, DDS
Dentist, General Practice in Corona, CA. Individual provider (NPI-1).
NPI number1003363243
StatusActive
Last updated in NPPESOct 19, 2020
Details
- NPI
- 1003363243
- Entity type
- Individual (NPI-1)
- Name
- Juan Gerardo Martinez
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 6, 2016
- Certification date
- Oct 17, 2020
- Last updated
- Oct 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DDS101781 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Other names
- Juan Gerardo Martinez Anaya (Other Name)
Practice location
490 N Main St Ste 207Corona, CA 92878-3461
Phone 951-444-7010 · Fax 951-444-7181
Mailing address
2919 Willow RdSan Pablo, CA 94806-3723
Phone 510-697-1029
Other practice locations
506 6th St
Brooklyn, NY 11215-3609
Brooklyn, NY 11215-3609
Phone 718-780-5410 · Fax 718-780-5409
70 S Palm Ave
Alhambra, CA 91801-3101
Alhambra, CA 91801-3101
Phone 626-289-6131
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