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Organization
DR BRENT MARTIN DMD PLLC
Active
Organization
DR BRENT MARTIN DMD PLLC
Active
Other names
River Rock Dental
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT MARTIN DMD (OWNER/DENTIST)
(509) 314-6600
Entity
Organization
Contact information
Practice address
812 ZILLAH WEST RD, ZILLAH, WA 98953-9542
(509) 314-6600
(844) 314-6603
Mailing address
812 ZILLAH WEST RD, ZILLAH, WA 98953-9542
(509) 314-6600
(844) 314-6603
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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