Individual
PAUL DOUGLAS MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
270 COBB PKWY S STE 180, MARIETTA, GA 30060-6520
(352) 359-5325
Mailing address
270 COBB PKWY S #180, MARIETTA, GA 30060
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015373
GA
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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