Individual
BRENT N. MARTINEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 N LITCHFIELD RD, GOODYEAR, AZ 85338-1617
(623) 932-3200
(623) 932-3222
Mailing address
15341 W WADDELL RD, B-107, 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
06/29/2006
Last updated
03/05/2008
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