Individual
CAROL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, PHDHP, BSDH
Contact information
Practice address
22 LAURIE LN, LITITZ, PA 17543-8106
(717) 627-0811
Mailing address
22 LAURIE LN, LITITZ, PA 17543-8106
(717) 627-0811
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
PHDH000046
PA
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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