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Organization
W ERIC MARTIN DDS PC
Active
Organization
W ERIC MARTIN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY S MARTIN (CORPORATE SECRETARY)
(217) 355-9997
Entity
Organization
Contact information
Practice address
403 WINDSOR RD, CHAMPAIGN, IL 61820
(217) 355-9997
Mailing address
403 E WINDSOR RD, CHAMPAIGN, IL 61820-7722
(217) 355-9997
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
060007408
IL
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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