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Organization

DAVID E. MARTIN DENTAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANE GATTORNO (REVENUE CYCLE DIRECTOR)
(814) 723-4973
Entity
Organization

Contact information

Practice address
2 W CRESCENT PARK, WARREN, PA 16365-2111
(814) 726-3043
(814) 723-8515
Mailing address
2 W CRESCENT PARK, WARREN, PA 16365-2111
(814) 726-3043
(814) 723-8515

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
490401
PA

Other

Enumeration date
01/10/2007
Last updated
07/20/2015
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