Individual
DR. PHILLIP SIDNEY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15511 ANNAPOLIS RD STE 540, BOWIE, MD 20715-3014
(301) 200-8484
(301) 200-8484
Mailing address
15511 ANNAPOLIS RD STE 540, BOWIE, MD 20715-3014
(301) 200-8484
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14280
MD
122300000X
Dentist
DEN1000762
DC
Other
Enumeration date
10/15/2008
Last updated
07/07/2020
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