NPI | 1780825703 |
---|---|
Doing Business As | MATTHEW B MARTIN DDS |
Entity Type | Organization |
Authorized Contact | MATTHEW BURGESS MARTIN President 406-452-2138 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MT 2250) |
Enumeration Date | 2009-03-20 |
Last Update Date | 2009-03-20 |