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NPI Code Detail

MEDICARE: LILIA ESTHELA MARTINEZ D.D.S

MEDICARE:   LILIA ESTHELA MARTINEZ  D.D.S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry41113CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689769515
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILIA ESTHELA MARTINEZ D.D.S
Provider Business Mailing Address
First Line : 169 S ALVARADO ST
Second Line : SUITE 103
City : LOS ANGELES
State : CA
Zip : 90057-2218
Country : US
Telephone Number : 213-484-1500
Fax Number : 213-484-6414
Provider Business Practice Location Address
First Line : 169 S ALVARADO ST
Second Line : SUITE 103
City : LOS ANGELES
State : CA
Zip : 90057-2218
Country : US
Telephone Number : 213-484-1500
Fax Number : 213-484-6414
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 07/09/2007

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Directions to “ LILIA ESTHELA MARTINEZ D.D.S” Practice Location

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