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Individual

RUBEN DARIO MARTIN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
791 TOWN AND COUNTRY BLVD STE 222, HOUSTON, TX 77024-3978
(832) 742-0515
Mailing address
230 T C JESTER BLVD APT 306, HOUSTON, TX 77007-3278
(786) 830-8979

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
40232
TX
122400000X
Denturist
DL14578
MA

Other

Enumeration date
10/29/2020
Last updated
03/18/2024
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