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Organization
MARTIN ORAL AND MAXILLOFACIAL SURGERY, PA
Active
Organization
MARTIN ORAL AND MAXILLOFACIAL SURGERY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ANDREW MARTIN D.M.D., M.D. (OWNER)
(662) 323-3801
Entity
Organization
Contact information
Practice address
101 WALKER WAY, STARKVILLE, MS 39759
(662) 323-3801
(662) 323-3121
Mailing address
PO BOX 770, STARKVILLE, MS 39760-0770
(662) 323-3801
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
352809
MS
Other
Enumeration date
01/05/2010
Last updated
01/07/2016
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