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Individual

DR. LEONARD J MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
474 INDUSTRIAL LN, ONEIDA, TN 37841-6294
(423) 286-8600
(423) 286-8644
Mailing address
470 INDUSTRIAL LN, ONEIDA, TN 37841-6294
(423) 286-8600
(423) 286-8644

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
003271
TN
1223G0001X
General Practice Dentistry
Primary
DS3271
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DS3271
TENNESSEE STATE LICENSE
TN
Enumeration date
12/17/2009
Last updated
12/05/2022
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