Individual
DR. BRENT LEONARD MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8380 CITY CENTRE DR, SUITE 120, WOODBURY, MN 55125-5304
(651) 714-1642
(651) 714-4415
Mailing address
8380 CITY CENTRE DR, SUITE 120, WOODBURY, MN 55125-5304
(651) 714-1642
(651) 714-4415
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8461
MN
Other
Enumeration date
05/04/2006
Last updated
10/21/2015
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