Individual
BRETT LEWIS MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
21152 E RITTENHOUSE RD STE 106, QUEEN CREEK, AZ 85142-4964
(480) 650-9929
Mailing address
21152 E RITTENHOUSE RD STE 106, QUEEN CREEK, AZ 85142-4964
(480) 650-9929
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D009757
AZ
Other
Enumeration date
07/24/2014
Last updated
11/06/2018
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