| NPI | 1003363243 |
|---|---|
| Other Name | JUAN GERARDO MARTINEZ ANAYA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS101781) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2020-10-19 |