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Organization
SONYA K. MARTIN DDS LLC
Active
Organization
SONYA K. MARTIN DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE RENEE FORD (FRONT OFFICE STAFF)
(276) 644-1155
Entity
Organization
Contact information
Practice address
2426 LEE HWY, SUITE 110, BRISTOL, VA 24202-5967
(276) 644-1155
(276) 644-1156
Mailing address
2426 LEE HWY, SUITE 110, BRISTOL, VA 24202-5967
(276) 644-1155
(276) 644-1156
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008239
VA
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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