Individual
DR. PAUL WILBUR MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
506 MALCOLM X BLVD, NEW YORK, NY 10037-1802
(212) 939-2878
(212) 939-2885
Mailing address
10 PRYER PL, NEW ROCHELLE, NY 10804-4504
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
029886
NY
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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