Individual
DR. DARYL JOHN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
517 MAIN ST, FENTON, MO 63026-4169
(636) 343-1550
(636) 343-1524
Mailing address
517 MAIN ST, FENTON, MO 63026-4169
(636) 343-1550
(636) 343-1524
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10150
MO
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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