Individual
MARTIN SOBIERAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
815 E JUAN SANCHEZ BLVD, SAN LUIS, AZ 85349-2017
(928) 627-8584
(928) 627-8949
Mailing address
1701 E THOMAS RD, STE 204, PHOENIX, AZ 85016-7675
(928) 539-3082
(928) 539-5579
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6664867-9921
UT
1223G0001X
General Practice Dentistry
Primary
D7393
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232643
—
AZ
Enumeration date
07/19/2007
Last updated
03/09/2016
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