Organization
MARTINSVILLE PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT E. MANN DDS, PC (OWNER)
(765) 342-8435
Entity
Organization
Contact information
Practice address
1690 S OHIO ST, MARTINSVILLE, IN 46151-3317
(765) 342-8435
Mailing address
1690 S OHIO ST, MARTINSVILLE, IN 46151-3317
(765) 342-8435
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12009166
IN
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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