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Individual

DR. JOHN A MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2521 CARNEGIE DR, STATE COLLEGE, PA 16803-1157
(814) 234-4997
(814) 234-4997
Mailing address
2521 CARNEGIE DR, STATE COLLEGE, PA 16803-1157
(814) 234-4997
(814) 234-4997

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS018149L
PA

Other

Enumeration date
06/13/2005
Last updated
02/15/2012
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