Individual
DR. RICK ALAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
720 TORNADO DRIVE, STORM LAKE, IA 50588
(712) 732-3015
(712) 732-3940
Mailing address
PO BOX 1084, 720 TORNADO DR, STORM LAKE, IA 50588
(712) 732-3015
(712) 732-3940
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
07335
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1272195
—
IA
Enumeration date
08/15/2006
Last updated
07/08/2007
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