Individual
DR. SAMUEL COLOMBO MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1402 BUCKHANNON PIKE, NUTTER FORT, WV 26301-4494
(304) 305-4376
Mailing address
603 STANLEY AVE, CLARKSBURG, WV 26301-3127
(304) 203-8633
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4641
WV
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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