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1487642914
KEVIN A MARTIN
COMMACK, NY
NPI
1487642914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 049501-1)
Enumeration Date
2005-10-10
Last Update Date
2007-07-08
Business Address
Dr. KEVIN A MARTIN DMD
164 COMMACK RD STE #7
COMMACK, NY 11725-3430
Phone number: 631-462-4600
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Mailing Address
Dr. KEVIN A MARTIN DMD
164 COMMACK RD STE #7
COMMACK, NY 11725-3430
Phone number: 631-462-4600
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