| David E. Martin Dental Clinic | |
|
2 W Crescent Park Warren PA 16365-2111 | |
| (814) 726-3043 | |
| (814) 723-8515 |
| Full Name | David E. Martin Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2 W Crescent Park, Warren, Pennsylvania |
| Authorized Official Name and Position | Diane Gattorno (REVENUE CYCLE DIRECTOR) |
| Authorized Official Contact | 8147234973 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David E. Martin Dental Clinic 2 W Crescent Park Warren PA 16365-2111 Ph: (814) 726-3043 | David E. Martin Dental Clinic 2 W Crescent Park Warren PA 16365-2111 Ph: (814) 726-3043 |
| NPI Number | 1871642561 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 07/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871642561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 490401 (Pennsylvania) | Primary |
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