Individual
CHRISTINA ANNA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1432 N GREAT NECK RD STE 102, VIRGINIA BEACH, VA 23454-1342
(757) 486-7857
(757) 486-4441
Mailing address
2120 W ADMIRAL DR, VIRGINIA BEACH, VA 23451-1764
(937) 620-5713
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401416920
VA
390200000X
Student in an Organized Health Care Education/Training Program
390200000X
NC
Other
Enumeration date
05/02/2019
Last updated
02/20/2023
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