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Organization
KENNETH R, MARTI DDS INC.
Active
Organization
KENNETH R, MARTI DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH R. MARTI DDS INC. (OWNER)
(916) 791-4133
Entity
Organization
Contact information
Practice address
6049 DOUGLAS BLVD, SUITE 9, GRANITE BAY, CA 95746-6284
(916) 791-4133
(916) 791-1659
Mailing address
6049 DOUGLAS BLVD, SUITE 9, GRANITE BAY, CA 95746-6284
(916) 791-4133
(916) 791-1659
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
27453
CA
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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