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General NPI Number Information
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NPI Number | 1356988307
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Entity Type | Organization
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Legal Business Name | CARLOS MARTINEZ, DDS, PLLC
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Dates
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Enumeration Date | 12/09/2019
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Last Update Date | 12/09/2019
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Provider Practice Location Address
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Address Line | 427 W WHEATLAND RD
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City | DUNCANVILLE
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State | TX
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Zip | 75116-4619
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Country | US
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Telephone | 972-298-2027
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Fax |
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Provider Business Mailing Address
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Address Line | 427 W WHEATLAND RD
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City | DUNCANVILLE
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State | TX
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Zip | 75116-4619
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Country | US
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Telephone | 972-298-2027
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CARLOS M HUICOCHEA MARTINEZ
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Credential |
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Telephone | 972-298-2027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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