NPI 1003265158

Edwin Martinez

Practitioner Dental Assistant Fort Stewart, GA

Practice location

Address: 1061 Harmon Ave, Fort Stewart, GA 31314-5641
Phone: (912) 767-6174

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1003265158
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jun 2016
Record last updated: 9 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.