Individual
MOSHOOD B MARTINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
7040 PEACH STREET, ERIE, PA 16509
(814) 866-7500
(814) 866-7555
Mailing address
7040 PEACH STREET, ERIE, PA 16509
(814) 866-7500
(814) 866-7555
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30.024340
OH
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DS038978
PA
Other
Enumeration date
05/03/2012
Last updated
01/05/2016
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