Individual
WILLIAM DAVID MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1756 CANDLER RD, DECATUR, GA 30032-3277
(404) 287-2239
Mailing address
1756 CANDLER RD, DECATUR, GA 30032-3277
(404) 287-2239
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015293
GA
Other
Enumeration date
04/04/2016
Last updated
01/18/2017
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