Organization
DR RICHARD J MARTIN A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JAMES MARTIN DDS (PRESIDENT/OWNER)
(337) 527-8527
Entity
Organization
Contact information
Practice address
1621 BEGLIS PKWY, SULPHUR, LA 70663-5906
(337) 527-8527
(337) 528-2568
Mailing address
1621 BEGLIS PKWY, SULPHUR, LA 70663-5906
(337) 527-8527
(337) 528-2568
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2844
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172760269
AMERICAN DENTAL ASSOC. #
LA
Enumeration date
10/05/2006
Last updated
06/30/2008
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