Sandra Martin, D.M.D.
Dentist, General Practice in Raleigh, NC. Organization (NPI-2).
NPI number1265601249
StatusActive
Last updated in NPPESFeb 25, 2008
Details
- NPI
- 1265601249
- Entity type
- Organization (NPI-2)
- Legal business name
- Sandra Martin, D.M.D.
- Organization subpart
- No
- Enumeration date
- Feb 25, 2008
- Last updated
- Feb 25, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 6588 | NC | Yes |
Practice location
14460 New Falls Of Neuse Ste 151Raleigh, NC 27614-8227
Phone 919-488-3384 · Fax 919-488-3385
Mailing address
14460 New Falls Of Neuse Ste 151Raleigh, NC 27614-8227
Phone 919-488-3384 · Fax 919-488-3385
Authorized official
Laura Lejeal
Office Manager
9194883384
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