Individual
DR. JACQUELINE S HARRIS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
818 18TH ST NW, 747, WASHINGTON, DC 20006-3513
(202) 330-1688
(877) 404-8207
Mailing address
818 18TH ST NW, 747, WASHINGTON, DC 20006-3513
(202) 330-1688
(877) 404-8207
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
13229
MD
1223G0001X
General Practice Dentistry
Primary
5580
DC
Other
Enumeration date
12/27/2007
Last updated
10/03/2013
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