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Individual

DR. SCOTT MARTINSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1011 MICHIGAN AVE, LAPORTE, IN 46350-3506
(219) 362-1108
Mailing address
1011 MICHIGAN AVE, LA PORTE, IN 46350-3584
(219) 362-1108

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7494
IN

Other

Enumeration date
06/07/2006
Last updated
03/29/2011
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