Individual
DR. MARTIN HUGH THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11616 IBERIA PLACE, SAN DIEGO, CA 92128
(858) 676-5010
(858) 676-5016
Mailing address
11616 IBERIA PLACE, SAN DIEGO, CA 92128
(858) 676-5010
(858) 676-5016
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
31538
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173912
UNITED CONCORDIA INS
—
Enumeration date
11/29/2006
Last updated
07/08/2007
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