Individual
KELLY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
G4007 W COURT ST, #D, FLINT, MI 48532-3560
(810) 230-0077
Mailing address
G4007 W COURT ST, #D, FLINT, MI 48532-3560
(810) 230-0077
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020677
MI
Other
Enumeration date
06/01/2012
Last updated
01/21/2015
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