Individual
TIMOTHY E MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
19700 E PARKER SQUARE DRIVE, PARKER, CO 80134
(303) 841-2144
(303) 841-5537
Mailing address
P.O. BOX 141, PARKER, CO 80134
(303) 841-2144
(303) 841-5537
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7184
CO
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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