Individual
DR. DALE EDWARD MARTIN
Active
Individual
DR. DALE EDWARD MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G52953
CA
207ND0101X
MOHS-Micrographic Surgery Physician
G52953
CA
207NS0135X
Procedural Dermatology Physician
G52953
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G52953
CA STATE LICENSE
CA
Enumeration date
06/05/2006
Last updated
05/05/2008
Update your record
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