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Individual

JANEL KALAR MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
809 MINERAL RD, GLENVILLE, WV 26351-1385
(304) 462-7343
Mailing address
809 MINERAL RD, GLENVILLE, WV 26351-1385
(304) 685-8464

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4268
WV
1223G0001X
General Practice Dentistry
4268
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1841271459
WV CHIP
WV
05
1841271459
WV
Enumeration date
07/24/2017
Last updated
08/28/2023
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