Kenneth R, Marti Dds Inc. | |
6049 Douglas Blvd Suite 9 Granite Bay CA 95746-6284 | |
(916) 791-4133 | |
(916) 791-1659 |
Full Name | Kenneth R, Marti Dds Inc. |
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Speciality | Clinic/center - Dental |
Location | 6049 Douglas Blvd, Granite Bay, California |
Authorized Official Name and Position | Kenneth R. Marti (OWNER) |
Authorized Official Contact | 9167914133 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kenneth R, Marti Dds Inc. 6049 Douglas Blvd Suite 9 Granite Bay CA 95746-6284 Ph: (916) 791-4133 | Kenneth R, Marti Dds Inc. 6049 Douglas Blvd Suite 9 Granite Bay CA 95746-6284 Ph: (916) 791-4133 |
NPI Number | 1093931396 |
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Provider Enumeration Date | 04/17/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093931396 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 27453 (California) | Primary |
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