# SANDRA MARTIN, D.M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265601249
- **Authorized official:** LAURA LEJEAL (OFFICE MANAGER)
- **Authorized official phone:** (919) 488-3384

## Contact information

- **Practice address:** 14460 NEW FALLS OF NEUSE STE 151, RALEIGH, NC 27614-8227
- **Practice address phone:** (919) 488-3384
- **Practice address fax:** (919) 488-3385
- **Mailing address:** 14460 NEW FALLS OF NEUSE STE 151, RALEIGH, NC 27614-8227
- **Mailing address phone:** (919) 488-3384
- **Mailing address fax:** (919) 488-3385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6588 | NC | Yes |

## Other

- **Enumeration date:** 02/25/2008
- **Last updated:** 02/25/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 799002G | — | NC |