Individual
DR. JUSTIN D MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 FIRST COLONIAL RD, SUITE #201, VIRGINIA BEACH, VA 23454-2207
(757) 333-3399
(757) 333-4946
Mailing address
1200 FIRST COLONIAL RD, STE #201, VIRGINIA BEACH, VA 23454-2207
(757) 333-3399
(757) 333-4946
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401008614
VA
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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