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Dr. Eddy Dale Martin, DDS
Pediatric Dentist in Lake Worth, Texas
NPI 1144261975

Eddy Dale Martin is a Pediatric Dentist based in Lake Worth, TX and is specialized in Pediatric Dentistry. Eddy Dale Martin practices in Lake Worth, TX and has the professional credentials of DDS. The NPI Number for Eddy Dale Martin is 1144261975 and holds a License No. 13263 (Texas).

The current practice location address for Eddy Dale Martin is 3904 Boat Club Rd, Lake Worth, TX and can be reached out via phone at 817-238-6450 and via fax at 817-238-6497.

Location: 3904 Boat Club Rd, Lake Worth, TX, 76135-3201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144261975
Provider Name
Eddy Dale Martin
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3904 Boat Club Rd, Lake Worth, TX, 76135-3201
Phone Number
817-238-6450
Fax Number
817-238-6497
Provider Enumeration Date
06/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3904 Boat Club Rd
City
Lake Worth
State
Texas
Zip
76135-3201
Phone Number
817-238-6450
Fax Number
817-238-6497
person
Provider Business Mailing Address Details
Address
3904 Boat Club Rd
City
Lake Worth
State
Texas
Zip
76135-3201
Phone Number
817-238-6450
Fax Number
817-238-6497
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
13263 (Texas)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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