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Provider Information for 1093854440

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STEVE MARTENEY D.D.S.

Gender: MALE

Individual NPI: 1093854440

Calendar Last Updated: 2014-12-01

Details

Name Value
NPI 1093854440
Enumeration Date 2007-02-05
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 319 SAN DIMAS AVE #D
SAN DIMAS, CA 91773
United States

Phone: 626-331-0779 | Fax: 626-967-1153
View Map External Link
Primary Practice Address 626 S 2ND AVE SUITE A
COVINA, CA 91723-3517
United States

Phone: 626-331-0779 | Fax: 626-967-1153
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice CA 32358