Individual
DR. KENDRA DAWN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1218 VIRGINIA ST E, SUITE D, CHARLESTON, WV 25301-2951
(304) 342-4422
Mailing address
1218 VIRGINIA ST E, SUITE D, CHARLESTON, WV 25301-2951
(304) 342-4422
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS037979
PA
1223G0001X
General Practice Dentistry
Primary
3827
WV
Other
Enumeration date
07/07/2008
Last updated
03/20/2014
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