Provider Demographics
NPI:1457450306
Name:DR. MARTIN HOFF ORAL AND MAXILLOFACIAL SURGERY
Entity Type:Organization
Organization Name:DR. MARTIN HOFF ORAL AND MAXILLOFACIAL SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HOFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD, DDS
Authorized Official - Phone:650-365-1028
Mailing Address - Street 1:139 ARCH ST
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94062-1339
Mailing Address - Country:US
Mailing Address - Phone:650-365-1028
Mailing Address - Fax:650-365-1098
Practice Address - Street 1:139 ARCH ST
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062-1339
Practice Address - Country:US
Practice Address - Phone:650-365-1028
Practice Address - Fax:650-365-1098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA347131223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial PathologyGroup - Single Specialty