# DR. CORWIN DEAN MARTIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1760590509
- **Gender:** Man
- **Credential:** MD DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 18135 | TX | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | D5182 | AZ | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | D05182 | AZ | Yes |
| 208200000X | Plastic Surgery Physician | 29085 | AZ | — |
| 208200000X | Plastic Surgery Physician | L0398 | TX | — |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 07/27/2023