Organization
COMPREHENSIVE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA J MARTIN D.D.S. (DENTIST)
(405) 238-2222
Entity
Organization
Contact information
Practice address
34637 AIRLINE RD STE 1, PAULS VALLEY, OK 73075-8584
(405) 238-2222
(405) 238-5181
Mailing address
34637 AIRLINE RD STE 1, PAULS VALLEY, OK 73075-8584
(405) 238-2222
(405) 238-5181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193400000X
DENTAL
OK
Enumeration date
02/02/2010
Last updated
02/02/2010
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