Brent J Martin DDS Ms Sc

NPI #1306908371 in Mequon, Wisconsin

Provider Information

NPI Number
1306908371
Entity Type
Organization
Organization Name
Brent J Martin DDS Ms Sc
Primary Specialty
Dentist - Endodontics
Enumeration Date
Dec 15, 2006
Last Updated
Apr 24, 2012

Practice Location

Address
1345 W TOWNE SQUARE RD
City
Mequon
ZIP Code
53092-5047
Phone
(262) 241-3019

Authorized Official

Name
DR. BRENT J MARTIN, DDS MS SC
Title
ENDODONTIST ORAL AND MAXILLOFACIAL
Phone
(262) 241-3019

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery
Dentist - EndodonticsEndodontics

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