Individual
MS. LAUREN BRENN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2011 N VAN BUREN ST, LITTLE ROCK, AR 72207-4739
(501) 438-0282
Mailing address
4 WILCOX CV, PARAGOULD, AR 72450-7471
(870) 270-9230
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4495
AR
Other
Enumeration date
03/31/2020
Last updated
08/20/2021
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