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MARIA H. MARTINSON D.M.D.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1619986320

Individual Registrant:
 MARIA H. MARTINSON D.M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
112 CLIFFORD AVE  SYLVANIA, GA 30467-2012 US
Tel: 912-564-7107  Fax: --

Contact information for business:
611 S MAIN ST  SYLVANIA, GA 30467-2229 US
Tel: 912-564-2263  Fax: --

Registration Information:
NPI: 1619986320
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
GA11086

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00590543AGA05




HEALTH CARE JOBS GA - Page 1



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