Rafael Martinez
Dentist in Effingham, IL. Individual provider (NPI-1).
NPI number1164049276
StatusActive
Last updated in NPPESJul 6, 2020
Details
- NPI
- 1164049276
- Entity type
- Individual (NPI-1)
- Name
- Rafael Martinez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2020
- Certification date
- Jul 6, 2020
- Last updated
- Jul 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN25060 | FL | Yes |
Practice location
1200 Network Centre DrEffingham, IL 62401-4602
Phone 217-540-5100
Mailing address
1200 Network Centre DrEffingham, IL 62401-4602
Phone 217-540-5100
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All 39 Dentist providers in Effingham · All 787 providers in Effingham
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