Individual
MELVIN H MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1165 W WASHINGTON ST, PITTSFIELD, IL 62363-1662
(217) 285-5525
(217) 285-5526
Mailing address
1165 W WASHINGTON ST, PITTSFIELD, IL 62363-1662
(217) 285-5525
(217) 285-5526
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19-15941
IL
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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