Freddie Martinez, DDS
Dentist, General Practice in Las Vegas, NV. Individual provider (NPI-1).
NPI number1780968461
StatusActive
Last updated in NPPESOct 2, 2019
Details
- NPI
- 1780968461
- Entity type
- Individual (NPI-1)
- Name
- Freddie Martinez
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 29, 2011
- Last updated
- Oct 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 6188 | NV | Yes |
Practice location
5775 W Sahara AveLas Vegas, NV 89146-3120
Phone 702-979-9799 · Fax 702-979-9823
Mailing address
5775 W Sahara AveLas Vegas, NV 89146-3120
Phone 702-979-9799 · Fax 702-979-9823
Other practice locations
4416 E Bonanza Rd Ste 103
Las Vegas, NV 89110-6348
Las Vegas, NV 89110-6348
Phone 702-979-9799 · Fax 702-979-9823
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