Organization
NATHAN S. MARTIN, DDS, LLC
Active
Other names
Northside Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN S MARTIN D.D.S. (OWNER/DENTIST)
(317) 519-6978
Entity
Organization
Contact information
Practice address
625 E BRISTOL ST STE A, ELKHART, IN 46514-3476
(317) 519-6978
Mailing address
7933 WINDHILL DR, INDIANAPOLIS, IN 46256-1820
(317) 519-6978
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012108A
IN
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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