Individual
JERRY D MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
418 W. MONROE AVE., CHESTER, MT 59522-0516
(406) 759-5350
Mailing address
PO BOX 516, 418 W. MONROE AVE, CHESTER, MT 59522-0516
(406) 759-5350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MT1594
MT
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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