Individual
EONA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2828 INTERNATIONAL CIR, COLORADO SPRINGS, CO 80910-3127
(719) 475-0783
Mailing address
775 FLEMING ST, COLORADO SPRINGS, CO 80911-3870
(719) 240-2622
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
002024156
CO
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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