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Organization
PIEDMONT DENTAL BY DESIGN
Active
Organization
PIEDMONT DENTAL BY DESIGN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL ANN MARTENSON D.D.S. (OWNER DENTIST)
(510) 652-2911
Entity
Organization
Contact information
Practice address
1331 GRAND AVENUE, PIEDMONT, CA 94610
(510) 652-2911
(510) 652-0772
Mailing address
1331 GRAND AVENUE, PIEDMONT, CA 94610
(510) 652-2911
(510) 652-0772
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24458
CA
Other
Enumeration date
05/08/2007
Last updated
02/14/2014
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