Provider Demographics
NPI:1255999884
Name:ZAMBRANO MARTINEZ, CATALINA (DDS, MS)
Entity type:Individual
Prefix:
First Name:CATALINA
Middle Name:
Last Name:ZAMBRANO MARTINEZ
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 ASTER TRL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78256-1621
Mailing Address - Country:US
Mailing Address - Phone:210-331-1298
Mailing Address - Fax:
Practice Address - Street 1:505 W LOUIS HENNA BLVD STE 110
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78728-1702
Practice Address - Country:US
Practice Address - Phone:512-593-7970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-29
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX350791223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics