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Individual

DR. KATAYOON MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPH, DMD

Contact information

Practice address
2790 MOSSIDE BLVD, 140, MONROEVILLE, PA 15146-2743
(412) 856-6600
Mailing address
787 SUNRISE CROSSING ST, HENDERSON, NV 89014-2276

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS039437
PA
1223P0221X
Pediatric Dentistry
S6-113C
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
S6-113C
STATE DENTAL LICENSE
NV
Enumeration date
09/29/2010
Last updated
01/03/2014
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