Organization
JOHN MARTIN DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARYL JOHN MARTIN JR. DDS (DDS)
(314) 739-1222
Entity
Organization
Contact information
Practice address
12131 DORSETT, ST 211, MARYLAND HEIGHTS, MO 63043
(314) 739-1222
(314) 739-1094
Mailing address
12131 DORSETT ST 211, ST 211, MARYLAND HEIGHTS, MO 63043
(314) 739-1222
(314) 739-1094
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15178
MO
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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