JEFF MARTIN

SHREVEPORT, LA
NPI1902998164
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: LA  4720)
Enumeration Date2006-09-28
Last Update Date2007-07-08
Business Address
-- JEFF MARTIN DDS
416 ASHLEY RIDGE BLVD
SHREVEPORT, LA 71106-7228
Phone number: 318-865-4091
Mailing Address
-- JEFF MARTIN DDS
416 ASHLEY RIDGE BLVD
SHREVEPORT, LA 71106-7228
Phone number: 318-865-4091