Individual
DR. DWAYNE KIM MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1855 SAN MIGUEL DR, SUITE 21, WALNUT CREEK, CA 94596-5279
(925) 932-1422
(925) 932-2020
Mailing address
1855 SAN MIGUEL DR, SUITE 21, WALNUT CREEK, CA 94596-5279
(925) 932-1422
(925) 932-2020
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
25171
CA
Other
Enumeration date
10/26/2006
Last updated
05/02/2012
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