Organization
DANIEL K. MARTISIUS, D.D.S., M.S
Active
Organization
DANIEL K. MARTISIUS, D.D.S., M.S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL K. MARTISIUS DDS MS (OWNER DOCTOR)
(318) 388-2220
Entity
Organization
Contact information
Practice address
5000 FORSYTHE BYPASS, SUITE 116, MONROE, LA 70201
(318) 388-2220
(318) 388-2219
Mailing address
5000 FORSYTHE BYPASS, SUITE 116, MONROE, LA 70201
(318) 388-2220
(318) 388-2219
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4436
LA
Other
Enumeration date
04/23/2007
Last updated
10/07/2013
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