Corey Martinez DDS LLC

NPI #1992242085 in Wabash, Indiana

Provider Information

NPI Number: 1992242085
Entity Type: Organization
Organization Name: Corey Martinez DDS LLC
Primary Specialty: Dentist
Enumeration Date: Jan 26, 2017
Last Updated: Jan 26, 2017

Practice Location

Address: 278 MANCHESTER AVE
City: Wabash
State: Indiana
ZIP Code: 46992
Phone: (260) 563-4065

Authorized Official

Name: DR. COREY D MARTINEZ, DDS
Title: DENTIST/ OWNER
Phone: (260) 563-4065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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