Organization
RAYMOND K MARTIN DDS MAGD PC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND K MARTIN (OWNER)
(508) 337-8555
Entity
Organization
Contact information
Practice address
200 CHAUNCY ST, SUITE 212, MANSFIELD, MA 02048
(508) 337-8555
(508) 337-6862
Mailing address
200 CHAUNCY ST, SUITE 212, MANSFIELD, MA 02048
(508) 337-8555
(508) 337-6862
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15885
MA
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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