Organization
JEAN A MARTIN DDS PC
Active
Other names
Canby Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM DENISE CHURCHWELL (OFFICE MANAGER)
(503) 266-2629
Entity
Organization
Contact information
Practice address
150 NE 3RD AVE, CANBY, OR 97013-3712
(503) 266-2629
(503) 266-2625
Mailing address
150 NE 3RD AVE, CANBY, OR 97013-3712
(503) 266-2629
(503) 266-2625
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6435
OR
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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