Martinsondriscoll D.d.s.

NPI #1003821893 in Petoskey, Michigan

Provider Information

NPI Number: 1003821893
Entity Type: Organization
Organization Name: Martinsondriscoll D.d.s.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 30, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2050 M 119
City: Petoskey
State: Michigan
ZIP Code: 49770-8962
Phone: (231) 347-7471

Authorized Official

Name: LESLIE JO SWENOR
Title: OFFICE MANAGER
Phone: (231) 347-7471

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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