Provider Demographics
NPI:1972840288
Name:LILIA E. MARTINEZ CYR, DDS, PLLC
Entity Type:Organization
Organization Name:LILIA E. MARTINEZ CYR, DDS, PLLC
Other - Org Name:ENCORE DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LILIA
Authorized Official - Middle Name:ESTELA
Authorized Official - Last Name:MARTINEZ CYR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:210-647-0097
Mailing Address - Street 1:6326 NW LOOP 410
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78238-3803
Mailing Address - Country:US
Mailing Address - Phone:210-647-0097
Mailing Address - Fax:210-647-0099
Practice Address - Street 1:6326 NW LOOP 410
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78238-3803
Practice Address - Country:US
Practice Address - Phone:210-647-0097
Practice Address - Fax:210-647-0099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX257951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1619282449OtherNPI TYPE 1