Individual
DR. KEVIN DOUGLAS MARTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
2114 HIGHWAY 80, HAUGHTON, LA 71037-9497
(318) 949-8344
(318) 949-8344
Mailing address
5 STERLING RANCH RD N, HAUGHTON, LA 71037-8535
(318) 949-2074
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4201
LA
Other
Enumeration date
05/12/2007
Last updated
07/08/2007
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