DR. Blake Austin Martin, DDS

NPI #1609526144 in Kansas City, Kansas

Provider Information

NPI Number
1609526144
Entity Type
Individual
Name
DR. Blake Austin Martin, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Mar 27, 2022
Last Updated
Jun 15, 2022

Practice Location

Address
8310 STATE AVE
State
Kansas
ZIP Code
66112-1841
Phone
(913) 334-5225

Specialties & Taxonomy Codes

Specialty
Dentist
Student in an Organized Health Care Education/Training Program

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