Charissa Michelle Martin, DMD

NPI #1902884752 in Boulder, Montana

Provider Information

NPI Number: 1902884752
Entity Type: Individual
Name: Charissa Michelle Martin, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jan 3, 2006
Last Updated: Mar 7, 2023

Practice Location

Address: 211 NORTH MAIN STREET
City: Boulder
State: Montana
ZIP Code: 59631
Phone: (406) 225-4222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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