Individual
DR. ALYSSA MARTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
3302 GASTON AVE, TEXAS A&M UNIVERSITY COLLEGE OF DENTISTRY, DALLAS, TX 75246-2013
(404) 354-7443
Mailing address
2627 LIVE OAK ST, #14028, DALLAS, TX 75204-5700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32508
TX
Other
Enumeration date
10/28/2016
Last updated
01/01/2017
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