| Martineau Dentistry | |
|
15341 W Waddell Rd Suite B107 Surprise AZ 85379-5169 | |
| (623) 975-3933 | |
| (623) 975-3493 |
| Full Name | Martineau Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15341 W Waddell Rd, Surprise, Arizona |
| Authorized Official Name and Position | Brent Martineau (OWNER/DENTIST) |
| Authorized Official Contact | 6239753933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martineau Dentistry 15341 W Waddell Rd Suite B107 Surprise AZ 85379-5169 Ph: (623) 975-3933 | Martineau Dentistry 15341 W Waddell Rd Suite B107 Surprise AZ 85379-5169 Ph: (623) 975-3933 |
| NPI Number | 1215489141 |
|---|---|
| Provider Enumeration Date | 10/26/2016 |
| Last Update Date | 10/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215489141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D6112 (Arizona) | Primary |
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