| Robert S. Martin, D.m.d., P.a. | |
|
2410 Evergreen Rd Suite 101 Gambrills MD 21054-1848 | |
| (410) 721-3403 | |
| Not Available |
| Full Name | Robert S. Martin, D.m.d., P.a. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2410 Evergreen Rd, Gambrills, Maryland |
| Authorized Official Name and Position | Robert Stephen Martin (OWNER) |
| Authorized Official Contact | 4107213403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert S. Martin, D.m.d., P.a. 2410 Evergreen Rd Suite 101 Gambrills MD 21054-1848 Ph: (410) 721-3403 | Robert S. Martin, D.m.d., P.a. 2410 Evergreen Rd Suite 101 Gambrills MD 21054-1848 Ph: (410) 721-3403 |
| NPI Number | 1881002053 |
|---|---|
| Provider Enumeration Date | 07/31/2014 |
| Last Update Date | 07/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881002053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 5401 (Maryland) | Primary |
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