# MARTIN BELANGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1720241615
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 57097 | CA | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 2085 | ND | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | D12849 | MN | — |

## Other

- **Enumeration date:** 07/09/2008
- **Last updated:** 12/29/2011