Individual
KALEB MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1710 E PINE ST, CENTRAL POINT, OR 97502-2811
(541) 665-1112
Mailing address
13462 PECOS ST, WESTMINSTER, CO 80234-1026
(720) 252-2046
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11996
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2024
Last updated
06/03/2024
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