Individual
JUSTIN J MARTIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4117 E LAKE RD, CANANDAIGUA, NY 14424-9784
(585) 394-8796
Mailing address
4117 E LAKE RD, CANANDAIGUA, NY 14424-9784
(585) 394-8796
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
23289
NY
Other
Enumeration date
07/22/2007
Last updated
07/22/2007
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