Provider Demographics
NPI:1982709895
Name:MARTINEZ, LYNDA KATHLEEN (DDS)
Entity Type:Individual
Prefix:
First Name:LYNDA
Middle Name:KATHLEEN
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 1:455 YELLOW PINE RD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-3713
Mailing Address - Country:US
Mailing Address - Phone:775-741-5896
Mailing Address - Fax:
Practice Address - Street 1:14175 MOUNT CHARLESTON ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89506-1241
Practice Address - Country:US
Practice Address - Phone:775-789-0854
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV26001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice