Individual
DR. BENJAMIN JOHN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
220 S DENTON TAP RD, SUITE 203, COPPELL, TX 75019-5038
(972) 393-5550
Mailing address
220 S DENTON TAP RD, SUITE 203, COPPELL, TX 75019-5038
(801) 318-5003
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
29865
TX
Other
Enumeration date
02/11/2013
Last updated
02/20/2015
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