| Susan Martinez D.d.s. P.a. | |
|
13419 Sw 56th St Miami FL 33175-6117 | |
| (305) 559-2663 | |
| (305) 559-3040 |
| Full Name | Susan Martinez D.d.s. P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13419 Sw 56th St, Miami, Florida |
| Authorized Official Name and Position | Susana Martinez (OWNER) |
| Authorized Official Contact | 3055592663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Martinez D.d.s. P.a. 13419 Sw 56th St Miami FL 33175-6117 Ph: (305) 559-2663 | Susan Martinez D.d.s. P.a. 13419 Sw 56th St Miami FL 33175-6117 Ph: (305) 559-2663 |
| NPI Number | 1003964040 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003964040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN0013120 (Florida) | Primary |
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