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NPI 1447618244 · live from the CMS NPI Registry

Martinez Orthodontics LLC

Dentist, Orthodontics and Dentofacial Orthopedics in Las Vegas, NV. National Provider Identifier 1447618244, active.

NPI record

NPI1447618244 Type 2 · organization
StatusActive
Primary specialtyDentist, Orthodontics and Dentofacial Orthopedics 1223X0400X
Practice location5775 S Rainbow Blvd, Ste 103, Las Vegas, NV 89118
Practice phone702-979-9799
EnumeratedFebruary 8, 2016
Last updatedFebruary 8, 2016
Authorized officialFreddie Martinez, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, Orthodontics and Dentofacial Orthopedics primary1223X0400XS3-256 (NV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.