Brian Calvin Martin DDS

NPI 1083699086 - Dentist - 1223G0001X

NPI Details
NPI 1083699086
Gender Male
Enumeration Date 12/13/2005
Last Updated 12/10/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
622 EAGLE ROCK AVE
SUITE 105
WEST ORANGE NJ, 07052-2994, US
Phone (973) 325-1011
Fax (973) 325-1183
Business Location
622 EAGLE ROCK AVE
SUITE 105
WEST ORANGE NJ, 07052-2994, US
Phone (973) 325-1011
Fax (973) 325-1183
Toxanomy
Taxonomy Code 1223G0001X
License State New Jersey
License Number DI021673
Remove 1083699086 NPI Number
 

According to our database, Brian Calvin Martin DDS NPI is 1083699086, taxonomy code is 1223G0001X and license number is DI021673, license state is located at New Jersey. Brian Calvin Martin DDS physically located at 622 Eagle Rock Ave, West Orange NJ, 07052-2994. NPI Number Brian Calvin Martin DDS has the Individual type.

Sponsored links

1083699086 NPI number is provided on an as is basis without warranty of any kind. 1083699086 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Calvin Martin DDS are for informational purposes only.