Individual
DR. ELLIOT MARTICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5030 W BASELINE RD, #131, LAVEEN, AZ 85339-7331
(602) 237-8880
Mailing address
5030 W BASELINE RD, #131, LAVEEN, AZ 85339-7331
(602) 237-8880
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8461
AZ
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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