| NPI | 1073156709 |
|---|---|
| Doing Business As | MARTIN DENTAL AIRPARK |
| Entity Type | Organization |
| Authorized Contact | LEANNA GONZALES Office Coordinator 480-498-4191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2019-10-25 |