Provider Demographics
NPI:1134330517
Name:MARTINEZ, ANNA RUTH PHILER (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANNA RUTH
Middle Name:PHILER
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 ARLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-3531
Mailing Address - Country:US
Mailing Address - Phone:310-989-0685
Mailing Address - Fax:
Practice Address - Street 1:12703 PRAIRIE AVE
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-4612
Practice Address - Country:US
Practice Address - Phone:310-676-2442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54566122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist