Organization
SANDRA MARTIN, D.M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEJEAL (OFFICE MANAGER)
(919) 488-3384
Entity
Organization
Contact information
Practice address
14460 NEW FALLS OF NEUSE STE 151, RALEIGH, NC 27614-8227
(919) 488-3384
(919) 488-3385
Mailing address
14460 NEW FALLS OF NEUSE STE 151, RALEIGH, NC 27614-8227
(919) 488-3384
(919) 488-3385
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6588
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
799002G
—
NC
Enumeration date
02/25/2008
Last updated
02/25/2008
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