LANCE P MARTIN

O FALLON, IL
NPI1326215484
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  19025240)
Enumeration Date2008-05-08
Last Update Date2008-05-08
Business Address
Dr. LANCE P MARTIN DMD
904 E HIGHWAY 50
O FALLON, IL 62269-2813
Phone number: 681-632-8471
Mailing Address
Dr. LANCE P MARTIN DMD
904 E HIGHWAY 50
O FALLON, IL 62269-2813
Phone number: 681-632-8471
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