Organization
GOODIN & MARTENS, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD T MARTENS D.M.D. (DENTIST/PRESIDENT)
(417) 869-6487
Entity
Organization
Contact information
Practice address
3850 SOUTH NATIONAL AVE,, HULSTON CANCER CENTER SUITE 720, SPRINGFIELD, MO 65807
(417) 869-6487
(417) 269-7549
Mailing address
3850 SOUTH NATIONAL AVE,, HULSTON CANCER CENTER SUITE 720, SPRINGFIELD, MO 65807
(417) 869-6487
(417) 269-7549
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
011444
MO
122300000X
Dentist
Primary
015922
MO
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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