Organization
CRYSTAL MARTIN DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRYSTAL L MARTIN DDS (DENTIST/OWNER)
(636) 227-0507
Entity
Organization
Contact information
Practice address
277 CLARKSON RD STE 100, ELLISVILLE, MO 63011-2280
(636) 227-0507
(636) 591-0032
Mailing address
331 PORTICO CT, CHESTERFIELD, MO 63017-2536
(314) 488-9073
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
06/03/2021
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