Individual
DR. BRENDALIZ BRISTOL MARTIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2550 S MAIN RD, VINELAND, NJ 08360-7138
(856) 839-7019
Mailing address
2550 S MAIN RD, VINELAND, NJ 08360-7138
(856) 839-7019
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02545300
NJ
1223P0221X
Pediatric Dentistry
2867
PR
Other
Enumeration date
07/27/2012
Last updated
07/10/2021
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