Individual
DR. ALAN J MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
268 HERBERT ST, ST AUGUSTINE, FL 32084-4000
(904) 829-1962
Mailing address
690 WILD CYPRESS CIR, PONTE VEDRA BEACH, FL 32081-5731
(904) 829-1962
(904) 395-3489
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN23010
FL
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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