Provider Demographics
NPI:1710040969
Name:MARTINEZ, SYLVIA N (D,D,S,)
Entity Type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:N
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:D,D,S,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 N. W. LOOP 410
Mailing Address - Street 2:SUITE 550
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213
Mailing Address - Country:US
Mailing Address - Phone:210-344-4443
Mailing Address - Fax:210-344-4947
Practice Address - Street 1:1100 N. W. LOOP 410
Practice Address - Street 2:SUITE 550
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-2257
Practice Address - Country:US
Practice Address - Phone:210-344-4443
Practice Address - Fax:210-344-4947
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX136631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice