Individual
DANIEL K MARTISIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
5000 FORSYTHE BYPASS, SUITE 116, MONROE, LA 70201
(318) 388-2220
(318) 388-2219
Mailing address
5000 FORSYTHE BYPASS, SUITE 116, MONROE, LA 70201
(318) 388-2220
(318) 388-2219
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4436
LA
Other
Enumeration date
10/05/2006
Last updated
10/04/2013
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