FREDERICK ELLIS MARTIN

NORFOLK, VA
NPI1134339294
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: VA  0401005337)
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
Dr. FREDERICK ELLIS MARTIN DDS
1709 COLLEY AVE STE 203
NORFOLK, VA 23517-1675
Phone number: 757-627-8303
Mailing Address
Dr. FREDERICK ELLIS MARTIN DDS
1709 COLLEY AVE STE 203
NORFOLK, VA 23517-1675
Phone number: 757-627-8303