Organization
MARTINEZ ORTHODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARBARA JEAN UTERMARK DMD (PRESIDENT)
(706) 860-5884
Entity
Organization
Contact information
Practice address
4469 COLUMBIA RD STE B, MARTINEZ, GA 30907-4573
(706) 860-5884
(706) 860-2100
Mailing address
4469 COLUMBIA RD STE B, MARTINEZ, GA 30907-4573
(706) 860-5884
(706) 860-2100
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
8593
GA
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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