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DR. AMMERA KAING MARTIN DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1700347812

Individual Registrant:
DR. AMMERA KAING MARTIN DDS
Gender: F
Sole Proprietor

Location and contact information for practice:
5401 ARNOLD AVE # 88  MCCLELLAN, CA 95652-1018 US
Tel: 209-242-1311  Fax: --

Contact information for business:
1890 JUNCTION BLVD APT 2324  ROSEVILLE, CA 95747-4703 US
Tel: 209-242-1311  Fax: --

Registration Information:
NPI: 1700347812
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CADDS103355

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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