Individual
DR. MICHAEL M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,MS
Contact information
Practice address
2930 E BARNETT RD, MEDFORD, OR 97504-8309
(541) 779-4501
(541) 779-8674
Mailing address
2930 E BARNETT RD, MEDFORD, OR 97504-8309
(541) 779-4501
(541) 779-8674
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D8721
OR
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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