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Individual

DR. AVERY MAKENZIE LANE MARTINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
5955 DUBLIN BLVD, COLORADO SPRINGS, CO 80923-7474
(719) 793-1932
Mailing address
5955 DUBLIN BLVD, COLORADO SPRINGS, CO 80923-7474
(719) 793-1932

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
27982
FL
122300000X
Dentist
Primary
MSDEN.00000008
CO

Other

Enumeration date
03/28/2023
Last updated
06/03/2026
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