Individual
DR. MICHAEL ANTHONY RYAN MARTINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2070 VIRGINIA AVE, NORTH BEND, OR 97459-2351
(541) 756-7568
(541) 756-0760
Mailing address
2070 VIRGINIA AVE, NORTH BEND, OR 97459-2351
(541) 756-7568
(541) 756-0760
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10321
OR
Other
Enumeration date
09/01/2015
Last updated
02/24/2016
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