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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