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812 Zillah West Rd Zillah WA 98953 | |
| (509) 829-6288 | |
| (509) 314-6603 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 812 Zillah West Rd, Zillah, Washington |
| Authorized Official Name and Position | Brent E Martin (DOCTOR/OWNER) |
| Authorized Official Contact | 5093146600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
812 Zillah West Rd Zillah WA 98953 Ph: (509) 829-6288 | 812 Zillah West Rd Zillah WA 98953 Ph: (509) 829-6288 |
| NPI Number | 1609168756 |
|---|---|
| Provider Enumeration Date | 05/09/2011 |
| Last Update Date | 02/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609168756 | NPI | - | NPPES |
| 5057039 | Medicaid | WA | |
| 2251024 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Dr Brent Martin Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 812 Zillah West Rd, Zillah, WA 98953 Phone: 509-314-6600 Fax: 844-314-6603 | |