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1295968634
DOUGLAS RICHARD MARTIN
MEQUON, WI
NPI
1295968634
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WI 2602-15)
Enumeration Date
2009-09-02
Last Update Date
2012-06-26
Business Address
Dr. DOUGLAS RICHARD MARTIN d.d.s.
1808 W GLEN OAKS LN
MEQUON, WI 53092-2902
Phone number: 616-406-9399
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Mailing Address
Dr. DOUGLAS RICHARD MARTIN d.d.s.
1808 W GLEN OAKS LN
MEQUON, WI 53092-2902
Phone number: 616-406-9399
Copy
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