| Daniel K. Martisius, D.d.s., M.s | |
|
5000 Forsythe Bypass Suite 116 Monroe LA 70201 | |
| (318) 388-2220 | |
| (318) 388-2219 |
| Full Name | Daniel K. Martisius, D.d.s., M.s |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5000 Forsythe Bypass, Monroe, Louisiana |
| Authorized Official Name and Position | Daniel K. Martisius (OWNER DOCTOR) |
| Authorized Official Contact | 3183882220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel K. Martisius, D.d.s., M.s 5000 Forsythe Bypass Suite 116 Monroe LA 70201 Ph: (318) 388-2220 | Daniel K. Martisius, D.d.s., M.s 5000 Forsythe Bypass Suite 116 Monroe LA 70201 Ph: (318) 388-2220 |
| NPI Number | 1396963740 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 10/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396963740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 4436 (Louisiana) | Primary |
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Dental Specialty Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2005 Forsythe Ave, Monroe, LA 71201 Phone: 318-388-2630 Fax: 318-322-4537 | |
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