Kenneth R, Marti Dds Inc.

NPI 1093931396 - Clinic/Center - 261QD0000X

NPI Details
NPI 1093931396
Enumeration Date 04/17/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KENNETH R. KENNETH
Position OWNER
Phone (916) 791-4133
Fax (916) 791-1659
Practice Location
6049 DOUGLAS BLVD
SUITE 9
GRANITE BAY CA, 95746-6284, US
Phone (916) 791-4133
Fax (916) 791-1659
Business Location
6049 DOUGLAS BLVD
SUITE 9
GRANITE BAY CA, 95746-6284, US
Phone (916) 791-4133
Fax (916) 791-1659
Toxanomy
Taxonomy Code 261QD0000X
License State California
License Number 27453
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According to our database, Kenneth R, Marti Dds Inc. NPI is 1093931396, taxonomy code is 261QD0000X and license number is 27453, license state is located at California. Kenneth R, Marti Dds Inc. physically located at 6049 Douglas Blvd, Granite Bay CA, 95746-6284. NPI Number 1033115704 has the healthcare provider type.

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1093931396 NPI number is provided on an as is basis without warranty of any kind. 1093931396 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth R, Marti Dds Inc. are for informational purposes only.