Individual
DR. AMMERA KAING MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5401 ARNOLD AVE # 88, MCCLELLAN, CA 95652-1018
(209) 242-1311
Mailing address
1890 JUNCTION BLVD APT 2324, ROSEVILLE, CA 95747-4703
(209) 242-1311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS103355
CA
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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