| NPI | 1700984689 |
|---|---|
| Doing Business As | WILSON MARTINO DENTAL OF BRIDGEPORT |
| Entity Type | Organization |
| Authorized Contact | ROBERT V MARTINO CEO 304-624-5250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WV 3070) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |