Individual
JOSHUA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
845 N 100 W, SUITE 100, OREM, UT 84057-3180
(520) 955-7759
(801) 227-7887
Mailing address
845 N 100 W, SUITE 100, OREM, UT 84057-3180
(520) 955-7759
(801) 227-7887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5856
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
792029
—
AZ
Enumeration date
11/23/2005
Last updated
12/13/2011
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