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Individual

BRIAN CALVIN MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
622 EAGLE ROCK AVE, SUITE 105, WEST ORANGE, NJ 07052-2994
(973) 325-1011
(973) 325-1183
Mailing address
622 EAGLE ROCK AVE, SUITE 105, WEST ORANGE, NJ 07052-2994
(973) 325-1011
(973) 325-1183

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI021673
NJ

Other

Enumeration date
12/13/2005
Last updated
12/10/2012
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