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General NPI Number Information
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NPI Number | 1740084359
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Entity Type | Organization
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Legal Business Name | JULIETA CAROLINA CARDENAS MARTINEZ
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | JOSE MARIA VELAZCO #2650-24
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City | TIJUANA
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State | BAJA CALIFORNIA
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Zip | 22010
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Country | MX
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Telephone | 562-352-0417
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Fax | 562-366-0560
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Provider Business Mailing Address
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Address Line | 3712 MAIN ST
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City | CHULA VISTA
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State | CA
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Zip | 91911-5835
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Country | US
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Telephone | 562-352-0417
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Fax | 562-366-0560
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Authorized Official
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Title or Position | DENTIST
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Name | DR. JULIETA CAROLINA CARDENAS MARTINEZ
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Credential | DDS
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Telephone | 562-352-0417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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