Charissa Michelle Martin, DMD Valid NPI

Individual provider · General Practice Dentistry · Boulder, MT

NPI

1902884752

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

2386 (MT)

Sex

Female

Sole proprietor

No

Enumerated

2006-01-03

Last updated

2023-03-07