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1144261975
EDDY DALE MARTIN
LAKE WORTH, TX
NPI
1144261975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: TX 13263)
Enumeration Date
2006-06-10
Last Update Date
2007-07-08
Business Address
Dr. EDDY DALE MARTIN D.D.S.
3904 BOAT CLUB RD
LAKE WORTH, TX 76135-3201
Phone number: 817-238-6450
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Mailing Address
Dr. EDDY DALE MARTIN D.D.S.
3904 BOAT CLUB RD
LAKE WORTH, TX 76135-3201
Phone number: 817-238-6450
Copy
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