Individual
DR. AUDREY MAXINE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5905 LAURA LN, SAN BERNARDINO, CA 92407-0215
(909) 880-8457
(909) 880-8457
Mailing address
5905 LAURA LN, SAN BERNARDINO, CA 92407-0215
(909) 880-8457
(909) 880-8457
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
42855
CA
Other
Enumeration date
09/19/2008
Last updated
03/12/2013
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