DR. Kevin A Martin, DMD

NPI #1487642914 in Commack, New York

Provider Information

NPI Number: 1487642914
Entity Type: Individual
Name: DR. Kevin A Martin, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Oct 10, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 164 COMMACK RD
Address 2: STE #7
City: Commack
State: New York
ZIP Code: 11725-3430
Phone: (631) 462-4600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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