Individual
DR. PAUL MICHAEL MARTIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
100 W MAIN ST, SHELBY, OH 44875
(419) 342-4217
Mailing address
100 W MAIN ST, SHELBY, OH 44875
(419) 342-4217
(419) 342-4103
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13616
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163746
—
OH
Enumeration date
03/20/2006
Last updated
07/08/2007
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