| NPI | 1073108890 |
|---|---|
| Doing Business As | MARTIN DENTAL - MESA, LLC |
| Entity Type | Organization |
| Authorized Contact | JAYLENE CRAM Office Manager 480-672-2453 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2021-03-03 |