Organization
DR. ROBERT MARTINO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT V MARTINO DDS (OWNER)
(304) 933-5300
Entity
Organization
Contact information
Practice address
1402 BUCKHANNON PIKE, SUITE A, NUTTER FORT, WV 26301-4494
(304) 933-5300
(304) 933-3633
Mailing address
2000 INDUSTRIAL RD E, SUITE 200, BRIDGEPORT, WV 26330-1297
(304) 933-5300
(304) 933-3633
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3070
WV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
3963
WV
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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