Individual
MARY CLAIRE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 FOUNTAINS DR, MADISON, MS 39110-6384
(601) 605-1410
Mailing address
430 WEST PL, MADISON, MS 39110-7721
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
112702
MS
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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