Individual
NATHAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2128 MOUNDS RD, ANDERSON, IN 46016-5713
(765) 642-0400
Mailing address
2128 MOUNDS RD, ANDERSON, IN 46016-5713
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012108A
IN
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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