Individual
DR. WALTER NEAL MARTIN, JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
179 MOBILE STREET, SALTILLO, MS 38866-1405
(662) 869-2787
(662) 869-2728
Mailing address
PO BOX 1405, 179 MOBILE STREET, SALTILLO, MS 38866-1405
(662) 869-2787
(662) 869-2728
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
218685
MS
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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