Individual
DR. TRISTAN VITTORIO MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
17130 SW UPPER BOONES FERRY RD, PORTLAND, OR 97224-7004
(503) 639-6620
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60041843
WA
Other
Enumeration date
01/30/2009
Last updated
04/13/2016
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