Ivan A Martino, D.D.S.
NPI #1487046991 in Pleasant Prairie, Wisconsin
Provider Information
- NPI Number
- 1487046991
- Entity Type
- Individual
- Name
- Ivan A Martino, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- D.D.S.
- Enumeration Date
- Feb 21, 2015
- Last Updated
- Apr 12, 2017
Practice Location
- Address
- 10347 77TH ST
- Address 2
- SUITE 630
- City
- Pleasant Prairie
- State
- Wisconsin
- ZIP Code
- 53158-1137
- Phone
- (262) 694-6360
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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