Individual
DR. KEN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4138 MADISON ST, NEW PORT RICHEY, FL 34652-6060
(727) 849-0705
(727) 847-3851
Mailing address
4138 MADISON ST, NEW PORT RICHEY, FL 34652-6060
(727) 849-0705
(727) 847-3851
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN6905
FL
Other
Enumeration date
12/15/2005
Last updated
07/08/2007
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