Individual
DR. MATTHEW PAUL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2737 LANCASTER DR NE STE 150, SALEM, OR 97305
(503) 364-9422
Mailing address
1553 WHITAKER DR SE APT 345, SALEM, OR 97317-5990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10708
OR
Other
Enumeration date
08/02/2017
Last updated
07/11/2018
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