Provider Demographics
NPI:1942398136
Name:MARTINEZ & MARTINEZ DENTAL CARE LLC
Entity Type:Organization
Organization Name:MARTINEZ & MARTINEZ DENTAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:P
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:513-229-8609
Mailing Address - Street 1:5374 COX SMITH RD STE C
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-9289
Mailing Address - Country:US
Mailing Address - Phone:513-229-8609
Mailing Address - Fax:513-229-8607
Practice Address - Street 1:5374 COX SMITH RD STE C
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-9289
Practice Address - Country:US
Practice Address - Phone:513-229-8609
Practice Address - Fax:513-229-8607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH21706122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty