Provider Demographics
NPI:1205994894
Name:MARTI, FLOR (DDS)
Entity type:Individual
Prefix:DR
First Name:FLOR
Middle Name:
Last Name:MARTI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2258 W ROOSEVELT BLVD
Mailing Address - Street 2:STE A
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-3090
Mailing Address - Country:US
Mailing Address - Phone:704-291-7100
Mailing Address - Fax:
Practice Address - Street 1:202 E WOODLAWN RD
Practice Address - Street 2:SUITE144B
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28217-2213
Practice Address - Country:US
Practice Address - Phone:704-523-1462
Practice Address - Fax:704-523-1558
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7889122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist