| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LAUREL MARTINEZ | 1245901917 | 2022-05-08 |
Laurel Martinez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1245901917. Registration indicates Laurel Martinez is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Dental Providers, Dentist) (Dentist: Dental Public Health, ) (Dental, ) (Dentist Dental Public Health, Dental Providers) (Dentist, )
| Entity Type | Individual |
| Provider Name | Dr. Laurel Martinez DMD, AM |
| Practice Office Address | 10833 LE CONTE AVE # A3-078 LOS ANGELES, CA US |
| Practice Office Telephone | 3108254348 |
| Mailing Address | 10833 LE CONTE AVE # A3-078 LOS ANGELES, CA 900953075 US |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 1223D0001X PRIMARY | Dental Providers Dentist Dentist: Dental Public Health Dental Dentist Dental Public Health Dental Providers Dentist | 107370
CA |