NPI 1366693004

Sophina Mae Martin, DA

Practitioner Dental Assistant Tohatchi, NM

Practice location

Address: 07 Choosgai Drive, Tohatchi, NM 87325
Phone: (505) 733-8440
Fax: (505) 733-8239
Mailing address: PO Box 1337, Gallup, NM 87305-1337

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

Other Dental Assistant providers in New Mexico →

Registry record

NPI: 1366693004
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Sep 2008
Record last updated: 30 Sep 2008

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.