Provider Demographics
NPI:1619282449
Name:MARTINEZ CYR, LILIA ESTELA (DDS)
Entity Type:Individual
Prefix:DR
First Name:LILIA
Middle Name:ESTELA
Last Name:MARTINEZ CYR
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 1:12230 STABLE POND DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-4651
Mailing Address - Country:US
Mailing Address - Phone:210-248-6627
Mailing Address - Fax:
Practice Address - Street 1:9410 DUGAS DR
Practice Address - Street 2:SUITE 101
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245-1002
Practice Address - Country:US
Practice Address - Phone:210-523-8100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX257951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice