Provider Demographics
NPI:1528435625
Name:STERLING, REINA MARTINEZ (RDH, BS, AS)
Entity type:Individual
Prefix:
First Name:REINA
Middle Name:MARTINEZ
Last Name:STERLING
Suffix:
Gender:F
Credentials:RDH, BS, AS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10467 NUCLA ST
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-0522
Mailing Address - Country:US
Mailing Address - Phone:303-249-6578
Mailing Address - Fax:
Practice Address - Street 1:2465 S DOWNING ST
Practice Address - Street 2:SUITE 210
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5822
Practice Address - Country:US
Practice Address - Phone:303-733-3710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-25
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODH.000904734124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist