Organization
MARTIN DENTAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER NEAL MARTIN JR. DMD (PRESIDENT)
(662) 869-2787
Entity
Organization
Contact information
Practice address
179 MOBILE ST, SALTILLO, MS 38866
(662) 869-2787
(662) 869-2728
Mailing address
PO BOX 1405, SALTILLO, MS 38866
(662) 869-2787
(662) 869-2728
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
218685
MS
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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