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Individual

DR. GREGORY LYNN MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
301 E STADIUM, MAGNOLIA, AR 71753-2034
(870) 901-7645
(870) 234-2030
Mailing address
301 E STADIUM, MAGNOLIA, AR 71753-2034
(870) 901-7645
(870) 234-2030

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3947
AR

Other

Enumeration date
06/24/2013
Last updated
06/24/2013
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