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Individual

DR. MARK AUSTIN MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1601 AIRPORT DR, SHAWNEE, OK 74804-4302
(405) 273-1020
Mailing address
1601 AIRPORT DR, SHAWNEE, OK 74804-4302
(918) 413-9868

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7444
OK

Other

Enumeration date
05/26/2021
Last updated
05/26/2021
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