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Individual

DR. BRANDON MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1232 CAMELLIA BLVD, SUITE A, LAFAYETTE, LA 70508-6973
(337) 988-4060
(337) 988-4062
Mailing address
201 SETTLERS TRACE BLVD, APT 3210, LAFAYETTE, LA 70508-6781

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5650
LA

Other

Enumeration date
05/03/2007
Last updated
01/24/2010
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