Individual
DR. AMY R MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
811 W WELLINGTON AVE, CHICAGO, IL 60657-5123
(773) 871-4964
Mailing address
811 W WELLINGTON AVE, CHICAGO, IL 60657-5123
(773) 871-4964
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026201
IL
Other
Enumeration date
05/02/2007
Last updated
12/03/2008
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