Organization
COREY MARTINEZ DDS LLC
Active
Other names
Brush Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY D MARTINEZ DDS (DENTIST/ OWNER)
(260) 563-4065
Entity
Organization
Contact information
Practice address
278 MANCHESTER AVE, WABASH, IN 46992
(260) 563-4065
Mailing address
278 MANCHESTER AVE, WABASH, IN 46992
(260) 563-4065
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012410A
IN
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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