Individual
DR. CHARLES W MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11201 W HUGUENOT RD, RICHMOND, VA 23235-3334
(804) 320-6800
(804) 320-1014
Mailing address
11201 W HUGUENOT RD, RICHMOND, VA 23235-3334
(804) 320-6800
(804) 320-1014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1127602
VA
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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