Individual
DR. ALLIE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
36 S MAIN ST, ASSONET, MA 02702-1710
(508) 644-5200
Mailing address
94 SOL E MAR ST, DARTMOUTH, MA 02748-3619
(774) 929-5000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10000375
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
03/06/2023
Last updated
07/30/2024
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