Organization
MICHAEL E MARTIN JR DDS
Active
Other names
Keystone Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL E MARTIN JR. DDS (PRESIDENT)
(206) 618-7212
Entity
Organization
Contact information
Practice address
2210 N 56TH ST, SEATTLE, WA 98103-6204
(206) 545-4411
Mailing address
2311 N 45TH ST # 210, SEATTLE, WA 98103-6905
(206) 618-7212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE8230
WA
Other
Enumeration date
06/09/2012
Last updated
06/09/2012
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