Individual
DR. MICHAEL ERNEST MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4303 BRIDGEPORT WAY WEST, UNIVERSITY PLACE, WA 98466
(253) 564-2828
(253) 564-2895
Mailing address
4303 BRIDGEPORT WAY WEST, UNIVERSITY PLACE, WA 98466
(253) 564-2828
(253) 564-2895
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4110
WA
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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