Organization
SONYA K. MARTIN DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE RENEE FORD (FRONT OFFICE STAFF)
(276) 644-1155
Entity
Organization
Contact information
Practice address
2426 LEE HWY, SUITE 110, BRISTOL, VA 24202-5967
(276) 644-1155
(276) 644-1156
Mailing address
2426 LEE HWY, SUITE 110, BRISTOL, VA 24202-5967
(276) 644-1155
(276) 644-1156
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008239
VA
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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