MEDICARE: DR. BARBARA MARTIN DDS

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
1	1223G0001X	General Practice Dentistry	37870	CA

General Provider Information

NPI Number	:	1497748842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA MARTIN DDS

Provider Business Mailing Address
First Line	:	8050 LINDBERGH LNDG, BROOKS CLINIC
Second Line	:
City	:	BROOKS CITY BASE
State	:	TX
Zip	:	78235-5221
Country	:	US
Telephone Number	:	210-240-4146
Fax Number	:

Provider Business Practice Location Address
First Line	:	8050 LINDBERGH LNDG
Second Line	:
City	:	BROOKS CITY BASE
State	:	TX
Zip	:	78235-5334
Country	:	US
Telephone Number	:	210-240-4146
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	10/04/2007

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