Marty Wayne Martin DDS

NPI 1083892863 - Dentist - 1223G0001X

NPI Details
NPI 1083892863
Gender Male
Enumeration Date 02/04/2008
Last Updated 06/15/2016
Entity Type Individual
Active Over 8 years ago
Practice Location
5015 PYRAMID WAY UNIT 113
SPARKS NV, 89436-7728, US
Phone (775) 424-3000
Fax (775) 424-3005
Business Location
526 S TONOPAH DR
STE. 200
LAS VEGAS NV, 89106-4043, US
Phone (702) 291-2031
Fax (702) 258-4144
Toxanomy
Taxonomy Code 1223G0001X
License State Nevada
License Number 0823
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According to our database, Dr. Marty Wayne Martin DDS NPI is 1083892863, taxonomy code is 1223G0001X and license number is 0823, license state is located at Nevada. Marty Wayne Martin DDS physically located at 5015 Pyramid Way Unit 113, Sparks NV, 89436-7728. NPI Number Marty Wayne Martin DDS has the Individual type.

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1083892863 NPI number is provided on an as is basis without warranty of any kind. 1083892863 is maintained by the National Plan & Provider Enumeration System. The contents of Marty Wayne Martin DDS are for informational purposes only.