Provider Demographics
NPI:1538895529
Name:CURIEL, MARTIN (DDS)
Entity type:Individual
Prefix:
First Name:MARTIN
Middle Name:
Last Name:CURIEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4304 JUNIUS ST APT 12
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1307
Mailing Address - Country:US
Mailing Address - Phone:915-504-9020
Mailing Address - Fax:
Practice Address - Street 1:11203 LAKE JUNE RD
Practice Address - Street 2:
Practice Address - City:BALCH SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75180-1237
Practice Address - Country:US
Practice Address - Phone:972-752-6210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-01
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX388361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice