Individual
DR. RICKEY LEE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7707 OLD HAMMOND HWY STE 4, BATON ROUGE, LA 70809-1262
(225) 925-9795
(225) 925-9791
Mailing address
7707 OLD HAMMOND HWY STE 4, BATON ROUGE, LA 70809-1262
(225) 925-9795
(225) 925-9791
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3001
LA
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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