Alfonso E. Martinez D.D.S. A Professional Corporation
Dentist, General Practice in El Monte, CA. Organization (NPI-2).
NPI number1457572166
StatusActive
Last updated in NPPESDec 10, 2020
Details
- NPI
- 1457572166
- Entity type
- Organization (NPI-2)
- Legal business name
- Alfonso E. Martinez D.D.S. A Professional Corporation
- Organization subpart
- No
- Enumeration date
- May 1, 2007
- Certification date
- Dec 10, 2020
- Last updated
- Dec 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 25314 | CA | Yes |
Other names
- Corporation (Doing Business As)
Practice location
11733 Valley BlvdEl Monte, CA 91732-3073
Phone 626-575-7565 · Fax 626-575-0240
Mailing address
11733 Valley BlvdEl Monte, CA 91732-3073
Phone 626-575-7565 · Fax 626-575-0240
Authorized official
Alfonso Edgar Martinez
President
6265757565
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