Individual
AMANDA DANIELLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4184 PEARL RD STE 103, MEDINA, OH 44256-6641
(330) 236-0677
Mailing address
2196 REIMER RD, WADSWORTH, OH 44281-8441
(330) 388-7707
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.027123
OH
Other
Enumeration date
05/24/2023
Last updated
05/26/2023
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