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Individual

DR. WAYNE T MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
245 CLUBHOUSE DR, GULF SHORES, AL 36542-3415
(251) 968-4446
Mailing address
PO BOX 3369, GULF SHORES, AL 36547-3369
(251) 968-4446

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4241
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
510-03344
BCBS OF AL
AL
Enumeration date
09/26/2006
Last updated
07/08/2007
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