Organization
JB MARTIN IV DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JB MARTIN IV DDS (OWNER)
(757) 397-9801
Entity
Organization
Contact information
Practice address
730 HIGH ST, PORTSMOUTH, VA 23704-3426
(757) 397-9801
(757) 397-9805
Mailing address
730 HIGH ST, PORTSMOUTH, VA 23704-3426
(757) 397-9801
(757) 397-9805
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401007603
VA
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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