DR. Lance P Martin, DMD

NPI #1326215484 in O Fallon, Illinois

Provider Information

NPI Number: 1326215484
Entity Type: Individual
Name: DR. Lance P Martin, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: May 8, 2008
Last Updated: May 8, 2008

Practice Location

Address: 904 E HIGHWAY 50
City: O Fallon
State: Illinois
ZIP Code: 62269-2813
Phone: (681) 632-8471

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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