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1902998164
JEFF MARTIN
SHREVEPORT, LA
NPI
1902998164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: LA 4720)
Enumeration Date
2006-09-28
Last Update Date
2007-07-08
Business Address
-- JEFF MARTIN DDS
416 ASHLEY RIDGE BLVD
SHREVEPORT, LA 71106-7228
Phone number: 318-865-4091
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Mailing Address
-- JEFF MARTIN DDS
416 ASHLEY RIDGE BLVD
SHREVEPORT, LA 71106-7228
Phone number: 318-865-4091
Copy
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