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1649318411
JEFFREY LEE MARTIN, DMD A PROFESSIONAL DENTAL CORP.
SHREVEPORT, LA
NPI
1649318411
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Entity Type
Organization
Authorized Contact
JEFFREY LEE MARTIN
Owner
318-865-4091
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: LA 5297)
Enumeration Date
2007-02-02
Last Update Date
2020-08-22
Business Address
JEFFREY LEE MARTIN, DMD A PROFESSIONAL DENTAL CORP.
416 ASHLEY RIDGE BLVD
SHREVEPORT, LA 71106-7228
Phone number: 318-865-4091
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Mailing Address
JEFFREY LEE MARTIN, DMD A PROFESSIONAL DENTAL CORP.
416 ASHLEY RIDGE BLVD
SHREVEPORT, LA 71106-7228
Phone number: 318-865-4091
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