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NPI 1053996033

NPI 1053996033 : MARTIN C WRITER DDS, MSD, INC. : ANAHEIM, CA

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General NPI Number Information
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    NPI Number           |    1053996033
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    Entity Type          |    Organization 
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    Legal Business Name  |    MARTIN C WRITER DDS, MSD, INC. 
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Dates
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    Enumeration Date     |    03/11/2021
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    Last Update Date     |    04/26/2021
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Provider Practice Location Address
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    Address Line         |    100 S CHAPARRAL CT STE 150 
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    City                 |    ANAHEIM
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    State                |    CA
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    Zip                  |    92808-2284
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    Country              |    US
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    Telephone            |    714-637-4200
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    Fax                  |    714-637-7092
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Provider Business Mailing Address
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    Address Line         |    100 S CHAPARRAL CT STE 150 
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    City                 |    ANAHEIM
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    State                |    CA
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    Zip                  |    92808-2284
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    Country              |    US
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    Telephone            |    714-637-4200
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    Fax                  |    714-637-7092
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. MARTIN CARL WRITER 
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    Credential           |    DDS
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    Telephone            |    714-637-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223P0221X
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    Taxonomy Name        |    Pediatric Dentistry
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    
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    License Number State |    
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