Crystal Martin DDS
NPI #1992381594 in Ellisville, Missouri
Provider Information
- NPI Number
- 1992381594
- Entity Type
- Organization
- Organization Name
- Crystal Martin DDS
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 23, 2021
- Last Updated
- May 18, 2021
Practice Location
- Address
- 277 CLARKSON RD STE 100
- City
- Ellisville
- State
- Missouri
- ZIP Code
- 63011-2280
- Phone
- (636) 227-0507
Authorized Official
- Name
- DR. CRYSTAL LUCILLE MARTIN, DDS
- Title
- OWNER/DENTIST
- Phone
- (636) 227-0507
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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