Dr. Martha L Gomez, D.D.S
Dentist, General Practice in Modesto, CA. Individual provider (NPI-1).
NPI number1013080902
StatusActive
Last updated in NPPESMar 5, 2009
Details
- NPI
- 1013080902
- Entity type
- Individual (NPI-1)
- Name
- Dr. Martha L Gomez
- Credential
- D.D.S
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 16, 2006
- Last updated
- Mar 5, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 50260 | CA | Yes |
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 50260 | CA |
Practice location
1130 Coffee RdSuite 9a
Modesto, CA 95355-4228
Phone 209-522-8783 · Fax 209-526-1470
Mailing address
1130 Coffee RdSuite 9a
Modesto, CA 95355-4228
Phone 209-522-8783 · Fax 209-526-1470
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