Provider Demographics
NPI:1770915019
Name:MARTINEZ, VALERIE MARIE (DDS)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:MARIE
Last Name:MARTINEZ
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 1:133 FAIRWAY LN
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-7621
Mailing Address - Country:US
Mailing Address - Phone:956-251-6258
Mailing Address - Fax:
Practice Address - Street 1:2439 MONARCH DR
Practice Address - Street 2:SUITE 4
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-6329
Practice Address - Country:US
Practice Address - Phone:956-723-1230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-08
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29440122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist