Individual
BRIAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
302 W AJO WAY, TUCSON, AZ 85713-6039
(520) 624-8535
Mailing address
302 W AJO WAY, TUCSON, AZ 85713-6039
(520) 624-8535
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9247
AZ
Other
Enumeration date
07/06/2015
Last updated
07/06/2015
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