Individual
DR. CRYSTAL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
277 CLARKSON RD, STE 100, ELLISVILLE, MO 63011
(636) 227-0507
(636) 591-0032
Mailing address
277 CLARKSON RD, STE 100, ELLISVILLE, MO 63011
(636) 227-0507
(636) 591-0032
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15403
MO
Other
Enumeration date
08/15/2006
Last updated
01/29/2016
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