Individual
AINSLEY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 MORAGA RD STE B, LAFAYETTE, CA 94549-4543
(925) 283-0313
Mailing address
905 MORAGA RD STE B, LAFAYETTE, CA 94549-4543
(925) 283-0313
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48992
CA
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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