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Organization

DRS. LARSON, MARTYN, & HAFNER, LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID G. MARTYN D. D. S. (DENTIST PARTNER)
(262) 240-0554
Entity
Organization

Contact information

Practice address
10562 N PORT WASHINGTON RD, MEQUON, WI 53092-5537
(262) 240-1220
(262) 240-1232
Mailing address
10562 N PORT WASHINGTON RD, MEQUON, WI 53092-5537
(262) 240-1220
(262) 240-1232

Taxonomy

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

Other

Enumeration date
01/30/2007
Last updated
03/26/2008
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