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Individual
CHRISTINA ANNA MARTIN
Active
Individual
CHRISTINA ANNA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401416920
VA
390200000X
Student in an Organized Health Care Education/Training Program
390200000X
NC
Other
Enumeration date
05/02/2019
Last updated
02/20/2023
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