DR. Martin J Cisneros, D.M.D.

NPI #1295805786 in Columbia, Illinois

Provider Information

NPI Number
1295805786
Entity Type
Individual
Name
DR. Martin J Cisneros, D.M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Nov 9, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
124 WEDGEWOOD DR
ZIP Code
62236-1053
Phone
(618) 281-9590

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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