Individual
DR. MARTIN K. BODDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
351 W. 6TH ST ATTN: NANCY POSEY-CREDENTIALS, BLDG 440, SUITE 18, FT STEWART, GA 31314-4704
(912) 767-6735
(912) 767-5425
Mailing address
351 W. 6TH ST ATTN: NANCY POSEY-CREDENTIALS, BLDG 440, SUITE 18, FT STEWART, GA 31314-4704
(912) 767-6735
(912) 767-5425
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3995
AL
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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