Individual
DR. DANIEL CLAYTON MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
40165 TRUCKEE AIRPORT RD, STE 303, TRUCKEE, CA 96161-4113
(530) 587-5440
Mailing address
40165 TRUCKEE AIRPORT RD, STE 303, TRUCKEE, CA 96161-4113
(530) 587-5440
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
54665
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
S2-103
NV
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
54665
CA
Other
Enumeration date
01/30/2007
Last updated
02/22/2018
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