NPI | 1376251744 |
---|---|
Doing Business As | MARTIN DENTAL STUDIO |
Entity Type | Organization |
Authorized Contact | THOMAS MARTIN Dentist 317-431-8208 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-11-14 |
Last Update Date | 2023-02-20 |