| Jb Martin Iv Dds Pc | |
|
730 High St Portsmouth VA 23704-3426 | |
| (757) 397-9801 | |
| (757) 397-9805 |
| Full Name | Jb Martin Iv Dds Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 730 High St, Portsmouth, Virginia |
| Authorized Official Name and Position | Jb Martin (OWNER) |
| Authorized Official Contact | 7573979801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jb Martin Iv Dds Pc 730 High St Portsmouth VA 23704-3426 Ph: (757) 397-9801 | Jb Martin Iv Dds Pc 730 High St Portsmouth VA 23704-3426 Ph: (757) 397-9801 |
| NPI Number | 1669636890 |
|---|---|
| Provider Enumeration Date | 07/16/2008 |
| Last Update Date | 07/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669636890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 0401007603 (Virginia) | Primary |
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