Individual
DR. DAVID LYNN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
106 CAUDILL RD, WAVERLY, OH 45690-1001
(740) 947-9380
Mailing address
106 CAUDILL RD, WAVERLY, OH 45690-1001
(740) 947-9380
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30016453
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0464171
—
OH
Enumeration date
05/25/2007
Last updated
07/08/2007
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