Individual
MR. MICHAEL RAY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3600 CERRILLOS RD, STE 507, SANTA FE, NM 87507
(505) 438-0756
(505) 424-7933
Mailing address
3600 CERRILLOS RD, STE 507, SANTA FE, NM 87507
(505) 438-0756
(505) 424-7933
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1488
NM
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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