Julie L Martin, RDH
Dental Hygienist in Hanscom Afb, MA. Individual provider (NPI-1).
NPI number1124100722
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124100722
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Julie L Martin
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | 12778 | MA | Yes |
Practice location
90 Vandenberg DrHanscom Afb, MA 01731-2104
Phone 781-377-3396
Mailing address
42 Kelly LnHanscom Afb, MA 01731-2659
Phone 781-274-0615
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