Brent J Martin Dds Ms Sc

NPI 1306908371 - Dentist - 1223S0112X

NPI Details
NPI 1306908371
Enumeration Date 12/15/2006
Last Updated 04/24/2012
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name BRENT J BRENT
Position ENDODONTIST ORAL AND MAXILLOFACIAL
Phone (262) 241-3019
Fax (262) 241-3027
Practice Location
1345 W TOWNE SQUARE RD
MEQUON WI, 53092-5047, US
Phone (262) 241-3019
Fax (262) 241-3027
Business Location
1345 W TOWNE SQUARE RD
MEQUON WI, 53092-5047, US
Phone (262) 241-3019
Fax (262) 241-3027
Toxanomy
Taxonomy Code 1223S0112X
License State Wisconsin
License Number 2529
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According to our database, Brent J Martin Dds Ms Sc NPI is 1306908371, taxonomy code is 1223S0112X and license number is 2529, license state is located at Wisconsin. Brent J Martin Dds Ms Sc physically located at 1345 W Towne Square Rd, Mequon WI, 53092-5047. NPI Number 1033115704 has the healthcare provider type.

1306908371 NPI number is provided on an as is basis without warranty of any kind. 1306908371 is maintained by the National Plan & Provider Enumeration System. The contents of Brent J Martin Dds Ms Sc are for informational purposes only.