Individual
WYMAN B MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
45 W CROSSVILLE RD, ROSWELL, GA 30075-2964
(770) 993-7424
(678) 461-4436
Mailing address
45 W CROSSVILLE RD, ROSWELL, GA 30075-2964
(770) 993-7424
(678) 461-4436
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7605
GA
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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