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1134339294
FREDERICK ELLIS MARTIN
NORFOLK, VA
NPI
1134339294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401005337)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
Dr. FREDERICK ELLIS MARTIN DDS
1709 COLLEY AVE STE 203
NORFOLK, VA 23517-1675
Phone number: 757-627-8303
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Mailing Address
Dr. FREDERICK ELLIS MARTIN DDS
1709 COLLEY AVE STE 203
NORFOLK, VA 23517-1675
Phone number: 757-627-8303
Copy
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