Individual
DR. JARED S. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4722 N SOUTHSIDE PLAZA ST, #24, RICHMOND, VA 23224-1742
(804) 319-5665
Mailing address
15506 CHESDIN LANDING PL, CHESTERFIELD, VA 23838-3238
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412483
VA
Other
Enumeration date
06/19/2008
Last updated
11/02/2011
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