Organization
MARTIN DENTAL SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY PAUL MARTIN DDS SC (PRESIDENT)
(715) 387-6344
Entity
Organization
Contact information
Practice address
605 E 4TH ST, MARSHFIELD, WI 54449
(715) 387-6344
(715) 384-2047
Mailing address
605 E 4TH ST, MARSHFIELD, WI 54449
(715) 387-6344
(715) 384-2047
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5001476015
WI
Other
Enumeration date
06/29/2006
Last updated
07/15/2008
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