Individual
DR. RONLAD P. MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
125 EAGLES POINTE PKWY, SUITE 100, STOCKBRIDGE, GA 30281-6379
(770) 474-0048
(770) 474-0063
Mailing address
125 EAGLES POINTE PKWY, SUITE 100, STOCKBRIDGE, GA 30281-6379
(770) 474-0048
(770) 474-0063
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
GA9360
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00458202C
—
GA
Enumeration date
07/06/2006
Last updated
07/08/2007
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