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Individual

ANDREW B. MARTOF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
UVA DEPARTMENT OF DENTISTRY, 1222 JEFFERSON PARK AVENUE, CHARLOTTESVILLE, VA 22908-0001
(434) 924-1774
(434) 243-6378
Mailing address
500 RAY C HUNT DR, CHARLOTTESVILLE, VA 22903-2981
(434) 980-6140
(434) 972-4266

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401005405
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007815859
VA
Enumeration date
02/21/2007
Last updated
07/08/2007
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