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Organization
JEANNE E MARTIN, DMD
Active
Organization
JEANNE E MARTIN, DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANNE E MARTIN DMD (GENERAL DENTIST)
(606) 528-3540
Entity
Organization
Contact information
Practice address
406 MASTER ST, CORBIN, KY 40701-1054
(606) 528-3540
(606) 528-0424
Mailing address
406 MASTER ST, CORBIN, KY 40701-1054
(606) 528-3540
(606) 528-0424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7180
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
617800
—
KY
Enumeration date
01/19/2012
Last updated
01/19/2012
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