Individual
DR. RONALD MARTELLA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2241 HILTON RD, SUITE #1, FERNDALE, MI 48220-1459
(248) 545-6400
Mailing address
23703 OLD ORCHARD TRL, BINGHAM FARMS, MI 48025-3446
(248) 647-7291
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12200
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005911-167
AETNA PPO
MI
05
—
1837608
—
MI
01
—
72795
CONCORDIA PPO
MI
Enumeration date
03/29/2006
Last updated
07/08/2007
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