Organization
MATTHEW B MARTIN DDS INC
Active
Other names
Matthew B Martin DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW BURGESS MARTIN DDS (PRESIDENT)
(406) 452-2138
Entity
Organization
Contact information
Practice address
2527 6TH AVE S, GREAT FALLS, MT 59405-3013
(208) 452-2138
Mailing address
409 RIVERVIEW DR E, GREAT FALLS, MT 59404-1553
(406) 788-0762
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2250
MT
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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