Organization
E. DALE MARTIN, D.D.S., M.S.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDDY DALE MARTIN D.D.S. (DENTIST)
(817) 238-6450
Entity
Organization
Contact information
Practice address
3904 BOAT CLUB RD, LAKE WORTH, TX 76135-3201
(817) 238-6450
(817) 238-6497
Mailing address
3904 BOAT CLUB RD, LAKE WORTH, TX 76135-3201
(817) 238-6450
(817) 238-6497
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
13263
TX
Other
Enumeration date
05/31/2006
Last updated
08/22/2020
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