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Individual
DR. ZACHARY AUSTIN MARTIK
Active
Individual
DR. ZACHARY AUSTIN MARTIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS044647
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS044647
STATE BOARD OF DENTISTRY
PA
Enumeration date
06/03/2024
Last updated
06/03/2024
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