Kenneth Randolph Martin, D.M.D.
NPI #1336271485 in Havertown, Pennsylvania
Provider Information
- NPI Number
- 1336271485
- Entity Type
- Individual
- Name
- Kenneth Randolph Martin, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Mar 12, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 6 N LEXINGTON AVE
- City
- Havertown
- State
- Pennsylvania
- ZIP Code
- 19083-5002
- Phone
- (610) 446-3883
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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