Individual
CHRIS A. MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
45160 MAIN STREET, MENDOCINO, CA 95460-1050
(707) 937-1790
(707) 937-6245
Mailing address
PO BOX 1050, MENDOCINO, CA 95460-1050
(707) 937-1790
(707) 937-6245
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D42181
CA
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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