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Individual

DR. JAMES R MARTELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
590 WILLIAM R LATHAM SR DR, BOURBONNAIS, IL 60914-2320
(815) 932-6665
Mailing address
590 WILLIAM R LATHAM SR DR, BOURBONNAIS, IL 60914-2320
(815) 932-6665

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IL

Other

Enumeration date
09/29/2006
Last updated
07/08/2007
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