Martinez Dental Office
Organization Active NPI Dentist · Los Angeles, CA
NPI 1477845113 · NPPES record last updated May 13, 2011
Key facts
- NPI
- 1477845113
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 20546 (CA)
- Legal business name
- MARTINEZ DENTAL OFFICE
- Practice address
- 2228 W 7TH St
Los Angeles, CA 90057-4002 - Phone
- (213) 381-7400
- NPI assigned
- May 13, 2011
- Organization subpart
- No
Authorized official
- Name
- Speed Fry
- Title
- Manager
- Phone
- (213) 381-7400
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- Arthur G Kaiser
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 20546 | CA | Yes |
Addresses
Primary practice location
2228 W 7TH St
Los Angeles, CA 90057-4002
Mailing address
2228 W 7TH St
Los Angeles, CA 90057-4002
Phone (213) 381-7400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B20546-07 | Other | CA | DENTI-CAL |
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.