Individual
DR. ALAN JEFFREY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6130 NIEMAN RD, SHAWNEE, KS 66203-2940
(913) 631-4373
Mailing address
6113 MELROSE LN, SHAWNEE, KS 66203-3091
(913) 631-0842
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5870
KS
Other
Enumeration date
09/23/2006
Last updated
07/08/2007
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