Individual
DR. JEFFREY R MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
950 MAIN ST, EAST AURORA, NY 14052-1924
(716) 652-3960
(716) 652-6125
Mailing address
24 DEER RUN, ORCHARD PARK, NY 14127-3454
(716) 652-3960
(716) 652-6125
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
040170
NY
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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