Individual
JERRY MARTIN PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5601 CHEVIOT RD, CINCINNATI, OH 45247-7005
(513) 741-0900
(513) 741-0419
Mailing address
5601 CHEVIOT RD, CINCINNATI, OH 45247-7005
(513) 741-0900
(513) 741-0419
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20779
OH
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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