Individual
ANDREW MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
7901 6TH ST, WELLINGTON, CO 80549-1516
(970) 568-0030
(970) 568-4227
Mailing address
PO BOX 330, WELLINGTON, CO 80549-0330
(970) 568-0030
(970) 568-4227
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN00202309
CO
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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