Individual
DR. MARTIN HUGH THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
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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