Organization
MARTIN NELSON ENDODONTIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MARTIN D.D.S. (DOCTOR)
(512) 275-4222
Entity
Organization
Contact information
Practice address
2911 A W GRIMES BLVD STE 103, PFLUGERVILLE, TX 78660-5459
(512) 275-4222
(512) 367-5865
Mailing address
2911 A W GRIMES BLVD STE 103, PFLUGERVILLE, TX 78660-5459
(512) 275-4222
(512) 367-5865
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
27918
TX
Other
Enumeration date
10/23/2017
Last updated
03/17/2018
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