| NPI | 1639254295 |
|---|---|
| Professional Name | MICHELLE MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 5004) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 45733) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2012-10-01 |