Individual
DR. JACOB WADE MARTINEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2719 N HIGHWAY 89 STE 200, PLEASANT VIEW, UT 84404-6257
(801) 737-5437
Mailing address
2719 N HIGHWAY 89 STE 200, PLEASANT VIEW, UT 84404-6257
(801) 737-5437
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9398017
UT
Other
Enumeration date
02/28/2013
Last updated
07/23/2019
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