Individual
DR. JEFFREY A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MS
Contact information
Practice address
863 OUTER RD, ORLANDO, FL 32814-6652
(407) 898-6711
(407) 895-9982
Mailing address
863 OUTER RD, ORLANDO, FL 32814-6652
(407) 898-6711
(407) 895-9982
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN11642
FL
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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