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DR. AMMERA KAING MARTIN DDS
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1700347812
Individual Registrant:DR. AMMERA KAING MARTIN DDS
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
5401 ARNOLD AVE # 88 MCCLELLAN, CA 95652-1018 US
Tel: 209-242-1311 Fax: --
Tel: 209-242-1311 Fax: --
Contact information for business:
1890 JUNCTION BLVD APT 2324 ROSEVILLE, CA 95747-4703 US
Tel: 209-242-1311 Fax: --
Tel: 209-242-1311 Fax: --
Registration Information:
NPI: 1700347812
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | CA | DDS103355 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
