Martin Family Dental, LLC

NPI #1053346122 in Fenton, Missouri

Provider Information

NPI Number
1053346122
Entity Type
Organization
Organization Name
Martin Family Dental, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 11, 2006
Last Updated
May 16, 2008

Practice Location

Address
517 MAIN ST
City
Fenton
ZIP Code
63026-4169
Phone
(636) 343-1550

Authorized Official

Name
DR. DARYL JOHN MARTIN, DDS
Title
OWNER/OPERATOR
Phone
(636) 343-1550

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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