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1629065115
MICHAEL WILLIAM MARTIN
WHITEMAN AFB, MO
NPI
1629065115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: OK 22237)
Enumeration Date
2005-09-30
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL WILLIAM MARTIN DDS, MD
331 SIJEN AVE
WHITEMAN AFB, MO 65305-1269
Phone number: 660-687-2201
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Mailing Address
Dr. MICHAEL WILLIAM MARTIN DDS, MD
331 SIJEN AVE
WHITEMAN AFB, MO 65305-1269
Phone number: 660-687-1862
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