Most Relevant Information
Provider Data
| NPI Number: | 1003179474 |
| Provider Name: | SCOTT THOMAS MARTYNA D.M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/20/2012 |
| Last Updated: | 06/20/2012 |
Provider Practice Location
110 IRVING ST NW
DEPT. OF ORAL AND MAXILLOFACIAL SURGERY
WASHINGTON
DC
200103017
Practice Location Phone/Fax
| Phone: | 2028777332 |
| Fax: | 2028775602 |
Provider Mailing Location
110 IRVING ST NW
DEPT. OF ORAL AND MAXILLOFACIAL SURGERY
WASHINGTON
DC
200103017
Provider Mailing Phone/Fax
| Phone: | 2028777332 |
| Fax: | 2028775602 |