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Contact Information

MARTINEZ DENTAL PC
3915 W 26TH ST
CHICAGO, IL60623
 Phone: 773-522-2929
 Fax: 773-522-2930
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MARTINEZ DENTAL PC

NPI Number 1003088006
LBN Legal business name MARTINEZ DENTAL PC
Authorized official LETICIA MARTINEZ - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/31/2008
Last updated 07/20/2010 - About 16 years ago
Identifiers
IL License # 019027035
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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