Edwin Martinez

NPI #1003265158 in Fort Stewart, Georgia

Provider Information

NPI Number: 1003265158
Entity Type: Individual
Name: Edwin Martinez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Enumeration Date: Jun 9, 2016
Last Updated: Jun 9, 2016

Practice Location

Address: 1061 HARMON AVE
City: Fort Stewart
State: Georgia
ZIP Code: 31314-5641
Phone: (912) 767-6174

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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