Provider Demographics
NPI:1821086570
Name:MARTINEZ, JOANNE SUAREZ (DDS,)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:SUAREZ
Last Name:MARTINEZ
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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 1:26711 ALISO CREEK RD
Mailing Address - Street 2:SUITE 200-C
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-4820
Mailing Address - Country:US
Mailing Address - Phone:949-349-0303
Mailing Address - Fax:949-349-0664
Practice Address - Street 1:26711 ALISO CREEK RD
Practice Address - Street 2:SUITE 200-C
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-4820
Practice Address - Country:US
Practice Address - Phone:949-349-0303
Practice Address - Fax:949-349-0664
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA444451223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry