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Individual

DR. JAY W MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
158 DANBURY RD, RIDGEFIELD, CT 06877-3227
(203) 431-4300
(203) 431-6733
Mailing address
158 DANBURY RD, RIDGEFIELD, CT 06877-3227
(203) 431-4300
(203) 431-6733

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5847
CT

Other

Enumeration date
10/26/2012
Last updated
10/26/2012
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