Individual
MERIANA S MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1002 BAY ST, BEAUFORT, SC 29902-5570
(843) 525-6264
(843) 522-8967
Mailing address
1002 BAY ST, BEAUFORT, SC 29902-5570
(843) 525-6264
(843) 522-8967
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4429
SC
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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