DR. Frederick Ellis Martin III, DDS

NPI #1134339294 in Norfolk, Virginia

Provider Information

NPI Number
1134339294
Entity Type
Individual
Name
DR. Frederick Ellis Martin III, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
May 23, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1709 COLLEY AVE STE 203
ZIP Code
23517-1675
Phone
(757) 627-8303

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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