# STEPHEN H MARTIN DDS

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

## Provider details

- **NPI number:** 1801349477
- **Authorized official:** STEPHEN MARTIN DDS (DENTIST)
- **Authorized official phone:** (425) 778-7007

## Contact information

- **Practice address:** 613 5TH AVE S, EDMONDS, WA 98020-3452
- **Practice address phone:** (425) 778-7007
- **Mailing address:** PO BOX 323, EDMONDS, WA 98020-0323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5522 | WA | Yes |

## Other

- **Enumeration date:** 07/29/2016
- **Last updated:** 07/29/2016
