Jerry Martin, DDS

NPI 1437240157 · on the registry since 2006 · sole proprietor

Practice

Address: 4150 Douglas Blvd
# A
Granite Bay, CA 95746
Phone: (916) 791-2733
Organisation at this address: Shahryar Sefidpour,Dds Msd Inc
Andrekgbortho Ingersoll Dental Corporation
Dr Andrek Granped Ingersoll Dental Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-05-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California