Individual
DR. EMILY SUZANNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1203 W DELMAR AVE, GODFREY, IL 62035-1739
(618) 466-3140
Mailing address
1203 W DELMAR AVE, GODFREY, IL 62035-1739
(618) 466-3140
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.029018
IL
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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