Organization
MARTINEAU DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT MARTINEAU D.M.D. (OWNER/DENTIST)
(623) 975-3933
Entity
Organization
Contact information
Practice address
15341 W WADDELL RD, SUITE B107, SURPRISE, AZ 85379-5169
(623) 975-3933
(623) 975-3493
Mailing address
15341 W WADDELL RD, SUITE B107, SURPRISE, AZ 85379-5169
(623) 975-3933
(623) 975-3493
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6112
AZ
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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