Jean a Martin DDS PC

NPI #1962777532 in Canby, Oregon

Provider Information

NPI Number: 1962777532
Entity Type: Organization
Organization Name: Jean a Martin DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 15, 2012
Last Updated: Mar 15, 2012

Practice Location

Address: 150 NE 3RD AVE
City: Canby
State: Oregon
ZIP Code: 97013-3712
Phone: (503) 266-2629

Authorized Official

Name: MRS. KIM DENISE CHURCHWELL
Title: OFFICE MANAGER
Phone: (503) 266-2629

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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