Individual
WALTER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2225 E W T HARRIS BLVD STE 100, CHARLOTTE, NC 28213-5384
(704) 494-4050
Mailing address
7903 WILBY HOLLOW DR, CHARLOTTE, NC 28270-1824
(336) 407-7224
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9670
NC
Other
Enumeration date
07/05/2012
Last updated
09/23/2020
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