MARTIN RUSSELL MOULTRIE

ANNISTON, AL
NPI1831411099
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: AL  3532)
Enumeration Date2010-02-15
Last Update Date2010-02-15
Business Address
MARTIN RUSSELL MOULTRIE DMD
1316 NOBLE ST
ANNISTON, AL 36201-4643
Phone number: 256-492-0131
Mailing Address
MARTIN RUSSELL MOULTRIE DMD
PO BOX 97
GADSDEN, AL 35902-0097
Phone number: 256-492-0131