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1215965918
BRENT N. MARTINEAU
GOODYEAR, AZ
NPI
1215965918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: AZ D6112)
Enumeration Date
2006-06-29
Last Update Date
2008-03-05
Business Address
BRENT N. MARTINEAU
105 N LITCHFIELD RD
GOODYEAR, AZ 85338-1617
Phone number: 623-932-3200
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Mailing Address
BRENT N. MARTINEAU
15341 W WADDELL RD B-107
SURPRISE, AZ 85379-5169
Phone number: 623-975-3933
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