Individual
CARLOS M MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
628 N BEAR LAKE RD, APOPKA, FL 32703-8807
(407) 862-1231
Mailing address
628 N BEAR LAKE RD, APOPKA, FL 32703-8807
(407) 862-1231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14761
FL
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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