Individual
DR. MICHAEL WILLIAM MARTIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
331 SIJEN AVE, WHITEMAN AFB, MO 65305-1269
(660) 687-2201
Mailing address
331 SIJEN AVE, WHITEMAN AFB, MO 65305-1269
(660) 687-1862
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22237
OK
Other
Enumeration date
09/30/2005
Last updated
07/08/2007
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