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1790879765
JACK W. MARTIN
HOUSTON, TX
NPI
1790879765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: TX 11726)
Enumeration Date
2006-10-03
Last Update Date
2010-11-09
Business Address
-- JACK W. MARTIN D.D.S.
1515 HOLCOMBE BLVD
HOUSTON, TX 77030-4009
Phone number: 713-792-6161
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Mailing Address
-- JACK W. MARTIN D.D.S.
PO BOX 4439
HOUSTON, TX 77210-4439
Phone number: 713-792-2991
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