Organization Name: | MARTINEZ & ZERMENO APDC |
NPI Number: | 1013046861 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CLAUDIA MONICA URIBE (OFFICE MANAGER) |
Mailing Address: | 12136 4th St Yucaipa |
State: | CA US |
Postal Code: | 92399 |
Phone Number: | 9097904478 |
Fax Number: | 9097904479 |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 02/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |