| NPI | 1023966637 |
|---|---|
| Other Name | COULTER MARTINEZ |
| Entity Type | Organization |
| Authorized Contact | APRIL DAWNE SPIVEY Operations Mananger 765-617-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2026-03-19 |
| Last Update Date | 2026-03-19 |