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1760557334
KENNETH R. MARTIN
COOKEVILLE, TN
NPI
1760557334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TN DS2766)
Enumeration Date
2006-11-21
Last Update Date
2007-07-08
Business Address
Dr. KENNETH R. MARTIN D.M.D
694 S WILLOW AVE
COOKEVILLE, TN 38501-3882
Phone number: 931-528-5491
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Mailing Address
Dr. KENNETH R. MARTIN D.M.D
694 S WILLOW AVE
COOKEVILLE, TN 38501-3882
Phone number: 931-528-5491
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