Organization
B. MARTIN DMD PLLC
Active
Other names
Community Dental Care of Zillah
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT E MARTIN DMD (DOCTOR/OWNER)
(509) 314-6600
Entity
Organization
Contact information
Practice address
812 ZILLAH WEST RD, ZILLAH, WA 98953
(509) 829-6288
(509) 314-6603
Mailing address
812 ZILLAH WEST RD, ZILLAH, WA 98953
(509) 829-6288
(509) 314-6603
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2251024
—
WA
05
—
5057039
—
WA
Enumeration date
05/09/2011
Last updated
02/05/2025
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