| Ivan A Martino, DDS | |
|
10347 77th St, Suite 630, Pleasant Prairie, WI 53158-1137 | |
| (262) 694-6360 | |
| Not Available |
| Full Name | Ivan A Martino |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 10347 77th St, Pleasant Prairie, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487046991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019030078 (Illinois) | Secondary |
| 122300000X | Dentist | 1001205 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ivan A Martino, DDS 10347 77th St, Suite 630, Pleasant Prairie, WI 53158-1137 Ph: (262) 694-6360 | Ivan A Martino, DDS 10347 77th St, Suite 630, Pleasant Prairie, WI 53158-1137 Ph: (262) 694-6360 |
Nicole Riehle, Dentist Medicare: Not Enrolled in Medicare Practice Location: 10288 77th St Ste 300, Pleasant Prairie, WI 53158 Phone: 262-697-4222 | |
Nataliia Dauksz, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9800 76th St Ste 108, Pleasant Prairie, WI 53158 Phone: 262-577-3000 | |
Dr. Daniel James Johnson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9809 39th Avenue, Suite #1, Pleasant Prairie, WI 53158 Phone: 262-654-5623 Fax: 262-654-8662 | |
Dr. Nicholas Valeri, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 9020 76th St Ste B, Pleasant Prairie, WI 53158 Phone: 262-577-5242 | |
Dr. Adrianna Mirim Jang, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 10288 77th St, Suite 300, Pleasant Prairie, WI 53158 Phone: 262-697-4222 Fax: 262-697-4370 | |
Dr. Nida Aqil, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 10288 77th St Ste 300, Pleasant Prairie, WI 53158 Phone: 262-697-4222 |