DOUGLAS RICHARD MARTIN

MEQUON, WI
NPI1295968634
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: WI  2602-15)
Enumeration Date2009-09-02
Last Update Date2012-06-26
Business Address
Dr. DOUGLAS RICHARD MARTIN d.d.s.
1808 W GLEN OAKS LN
MEQUON, WI 53092-2902
Phone number: 616-406-9399
Mailing Address
Dr. DOUGLAS RICHARD MARTIN d.d.s.
1808 W GLEN OAKS LN
MEQUON, WI 53092-2902
Phone number: 616-406-9399