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General NPI Number Information
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NPI Number | 1942398136
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Entity Type | Organization
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Legal Business Name | MARTINEZ & MARTINEZ DENTAL CARE LLC
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5374 COX SMITH RD STE C
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City | MASON
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State | OH
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Zip | 45040-9289
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Country | US
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Telephone | 513-229-8609
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Fax | 513-229-8607
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Provider Business Mailing Address
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Address Line | 5374 COX SMITH RD STE C
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City | MASON
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State | OH
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Zip | 45040-9289
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Country | US
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Telephone | 513-229-8609
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Fax | 513-229-8607
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Authorized Official
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Title or Position | OWNER
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Name | CHRIS P MARTINEZ
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Credential | DMD
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Telephone | 513-229-8609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 21706
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License Number State | OH
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