NPI 1699428839

Roger H Martin

Practitioner Dental Laboratory Technician Fort Carson, CO

Practice location

Address: 1667 Cochrane Cir, Fort Carson, CO 80913-4603
Phone: (719) 526-5537

Registered specialties

Dental Laboratory Technician Primary

Dental Providers Taxonomy 126900000X

Other Dental Laboratory Technician providers in Colorado →

Registry record

NPI: 1699428839
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jan 2022
Record last updated: 28 Jan 2022

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.