Michael R Martell, DDS

NPI #1902992977 in Cedar Lake, Indiana

Provider Information

NPI Number
1902992977
Entity Type
Individual
Name
Michael R Martell, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Oct 5, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
12712 WICKER AVENUE
State
Indiana
ZIP Code
46303
Phone
(219) 374-6398

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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