Organization
MARTIN & MARTIN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE L MARTIN DDS (DENTIST OWNER)
(317) 257-9103
Entity
Organization
Contact information
Practice address
1927 BROAD RIPPLE AVE, INDIANAPOLIS, IN 46220
(317) 257-9103
(317) 257-0931
Mailing address
1927 BROAD RIPPLE AVE, INDIANAPOLIS, IN 46220
(317) 257-9103
(317) 257-0931
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
IN12009976
IN
122300000X
Dentist
Primary
IN12010059
IN
Other
Enumeration date
08/21/2006
Last updated
08/22/2020
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