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Douglas R. Martin DDS Sc

NPI #1518290980 in Sheboygan, Wisconsin

Provider Information

NPI Number
1518290980
Entity Type
Organization
Organization Name
Douglas R. Martin DDS Sc
Primary Specialty
Dentist - General Practice
Enumeration Date
Sep 16, 2009
Last Updated
Oct 30, 2012

Practice Location

Address
2905 S 12TH ST
City
Sheboygan
State
Wisconsin
ZIP Code
53081-6705
Phone
(616) 406-9399

Authorized Official

Name
DR. DOUGLAS RICHARD MARTIN, D.D.S.
Title
SOLE MEMBER
Phone
(616) 406-9399

Specialties & Taxonomy Codes

Specialty
Dentist - General Practice — General Practice

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