Individual
DR. RYAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
108 S 10TH ST, CABOT, AR 72023-2820
(501) 843-7726
Mailing address
108 S 10TH ST, CABOT, AR 72023-2820
(501) 843-7726
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3580
AR
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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