Individual
DR. CLIFFORD LEE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
701 N WEINBACH AVE, SUITE 920, EVANSVILLE, IN 47711
(812) 477-8949
(812) 477-3945
Mailing address
701 N WEINBACH AVE, SUITE 920, EVANSVILLE, IN 47711
(812) 477-8949
(812) 477-3945
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009674
IN
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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