Individual
DR. WILLIAM FREDERICK MARTSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
315 N. WHITLEY, FRUITLAND, ID 83619
(208) 452-2722
(208) 642-8941
Mailing address
315 N. WHITLEY, FRUITLAND, ID 83619
(208) 452-2722
(208) 642-8941
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3076
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001016600
—
ID
Enumeration date
11/30/2006
Last updated
11/13/2012
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