DR. Douglas Richard Martin, D.D.S.

NPI #1295968634 in Mequon, Wisconsin

Provider Information

NPI Number: 1295968634
Entity Type: Individual
Name: DR. Douglas Richard Martin, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Sep 2, 2009
Last Updated: Jun 26, 2012

Practice Location

Address: 1808 W GLEN OAKS LN
City: Mequon
State: Wisconsin
ZIP Code: 53092-2902
Phone: (616) 406-9399

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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