NPI 1366507063

Marie Wilenne St. Martin, DDS

Practitioner General Practice Dentistry Odenton, MD

Practice location

Address: 1554 Annapolis Rd, Odenton, MD 21113-1001
Phone: (410) 674-7360
Fax: (410) 674-5422

Registered specialties (2)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 13867 (MD)

Other Dentist providers in Maryland →

Dentist

Dental Providers Taxonomy 122300000X Licence 13867 (MD)

Registry record

NPI: 1366507063
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Dec 2006
Record last updated: 3 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.