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
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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