Individual
DR. SANDRA ELIZABETH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD PA
Contact information
Practice address
610 DR CALVIN JONES HWY, WAKE FOREST, NC 27587-3101
(919) 488-3384
(919) 488-3384
Mailing address
610 DR CALVIN JONES HWY STE 112, WAKE FOREST, NC 27587-3104
(919) 488-3384
(919) 488-3385
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6588
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
799002G
—
NC
Enumeration date
12/28/2006
Last updated
07/27/2023
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