JEFFREY LEE MARTIN, DMD A PROFESSIONAL DENTAL CORP.

SHREVEPORT, LA
NPI1649318411
Entity TypeOrganization
Authorized ContactJEFFREY LEE MARTIN
Owner
318-865-4091
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: LA  5297)
Enumeration Date2007-02-02
Last Update Date2020-08-22
Business Address
JEFFREY LEE MARTIN, DMD A PROFESSIONAL DENTAL CORP.
416 ASHLEY RIDGE BLVD
SHREVEPORT, LA 71106-7228
Phone number: 318-865-4091
Mailing Address
JEFFREY LEE MARTIN, DMD A PROFESSIONAL DENTAL CORP.
416 ASHLEY RIDGE BLVD
SHREVEPORT, LA 71106-7228
Phone number: 318-865-4091