Bradley Martin

NPI #1689274664 in Eielson Afb, Alaska

Provider Information

NPI Number: 1689274664
Entity Type: Individual
Name: Bradley Martin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Oct 28, 2020
Last Updated: Oct 28, 2020

Practice Location

Address: 2630 CENTRAL AVE
City: Eielson Afb
State: Alaska
ZIP Code: 99702-2301
Phone: (907) 377-6670

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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