Alfonso E. Martinez D.D.S. a Professional Corporation

Organization Active NPI General Practice Dentistry · El Monte, CA

NPI 1457572166 · NPPES record last updated Dec 10, 2020

Key facts

NPI
1457572166
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
25314 (CA)
Legal business name
ALFONSO E. MARTINEZ D.D.S. A PROFESSIONAL CORPORATION
Practice address
11733 Valley Blvd
El Monte, CA 91732-3073
Phone
(626) 575-7565
Fax
(626) 575-0240
NPI assigned
May 1, 2007
Organization subpart
No

Authorized official

Name
Dr. Alfonso Edgar Martinez
Title
President
Phone
(626) 575-7565

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

11733 Valley Blvd
El Monte, CA 91732
Phone (626) 575-7565

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 25314 CA Yes

Addresses

Primary practice location

11733 Valley Blvd
El Monte, CA 91732-3073

Mailing address

11733 Valley Blvd
El Monte, CA 91732-3073
Phone (626) 575-7565

Other names

  • CORPORATION Doing business as

Other providers in El Monte, CA

All providers in El Monte, CA · General Practice Dentistry in California

Sources for this page

Verify at the official NPI Registry.