Individual
DR. CORNELIUS DEVANTE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2605 FOREST HILLS RD SW STE B, WILSON, NC 27893-4448
(252) 512-4144
Mailing address
2605 FOREST HILLS RD SW STE B, WILSON, NC 27893-4448
(252) 512-4144
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
11588
NC
Other
Enumeration date
05/31/2019
Last updated
08/18/2023
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