Crystal Martin DDS
Crystal Martin DDS is a Dental Clinic/Center in Ellisville, Missouri. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
277 Clarkson Rd Ste 100Ellisville, MO 63011-2280
Phone: (636) 227-0507
Fax: (636) 591-0032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1992381594 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Crystal Martin — Owner/Dentist · (636) 227-0507 |
| NPI enumerated | March 23, 2021 |
| Last updated in NPPES | May 18, 2021 |
| Certification date | May 18, 2021 |
| Mailing address | 277 Clarkson Rd Ste 100, Ellisville, MO 63011-2280 |