Individual
JEREMY RICHARD MARTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2004 SE 192ND AVE STE 101, VANCOUVER, WA 98683-9526
(360) 768-5609
Mailing address
19600 NE 3RD ST APT 196, CAMAS, WA 98607-7813
(707) 326-9465
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61322769
WA
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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