Individual
JAMES CAREY MARTIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
2310 CRAVEN ST, SAN DIEGO, CA 92136-5596
(619) 556-8255
Mailing address
254 J AVE, CORONADO, CA 92118-1138
(360) 271-8865
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D8376
MN
Other
Enumeration date
02/03/2006
Last updated
07/08/2007
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