Individual
DR. NATHAN RICHARD MARTZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
315 MCHUGH BLVD, COMMANDING OFFICER 2D DENBN/NDC, PSC 20130, CAMP LEJEUNE, NC 28542-0130
(910) 451-2208
(910) 451-8036
Mailing address
315 MCHUGH BLVD, COMMANDING OFFICER 2D DENBN/NDC, PSC 20130, CAMP LEJEUNE, NC 28542-0130
(910) 451-2208
(910) 451-8036
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020289
MI
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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