Individual
DR. CHASE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3301 VETERANS BLVD., SUITE 203, METAIRIE, LA 70002
(504) 833-6825
Mailing address
3301 VETERANS BLVD., SUITE 203, METAIRIE, LA 70002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6285
LA
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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