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Individual

DR. BRENT MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S. M.B.A.

Contact information

Practice address
1216 FARMINGTON AVE, SUITE 201, WEST HARTFORD, CT 06107-2672
(860) 561-4378
(860) 561-4384
Mailing address
10 E NORMANDY DR, WEST HARTFORD, CT 06107-1405
(860) 561-0233
(860) 561-0234

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
CT 8217
CT

Other

Enumeration date
01/14/2007
Last updated
07/08/2007
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