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NPI Code Detail

MEDICARE: MARIAH ROSE MARTIN

MEDICARE: MARIAH ROSE MARTIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental Hygienist70127211WA

General Provider Information

NPI Number : 1447128392
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIAH ROSE MARTIN
Provider Business Mailing Address
First Line : 731 N IRON BRIDGE WAY
Second Line :
City : SPOKANE
State : WA
Zip : 99202-4926
Country : US
Telephone Number : 509-444-8888
Fax Number : 509-444-7806
Provider Business Practice Location Address
First Line : 203 E DALKE AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99208-8112
Country : US
Telephone Number : 509-444-8200
Fax Number : 509-434-0392
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2025
Last Update Date : 05/21/2026

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Directions to “ MARIAH ROSE MARTIN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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