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1437240157
JERRY H. MARTIN
GRANITE BAY, CA
NPI
1437240157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 36794)
Enumeration Date
2006-09-27
Last Update Date
2008-05-06
Business Address
Dr. JERRY H. MARTIN DDS
4150 DOUGLAS BLVD # A
GRANITE BAY, CA 95746-5964
Phone number: 916-791-2733
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Mailing Address
Dr. JERRY H. MARTIN DDS
9823 SATTLEY PL
GRANITE BAY, CA 95746-6715
Phone number: 916-791-2739
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