DR. Michael William Martin, DDS, MD

NPI #1629065115 in Whiteman Afb, Missouri

Provider Information

NPI Number
1629065115
Entity Type
Individual
Name
DR. Michael William Martin, DDS, MD
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
DDS, MD
Enumeration Date
Sep 30, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
331 SIJEN AVE
ZIP Code
65305-1269
Phone
(660) 687-2201

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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