Most Relevant Information
Provider Data
| NPI Number: | 1003812041 |
| Provider Name: | JILL ANN MARTENSON D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 43817 |
Most Important Dates
| Enumeration Date: | 06/23/2005 |
| Last Updated: | 02/04/2014 |
Provider Practice Location
1331 GRAND AVE
PIEDMONT
CA
946101019
Practice Location Phone/Fax
| Phone: | 5106522911 |
| Fax: | 5106520772 |
Provider Mailing Location
1331 GRAND AVE
PIEDMONT
CA
946101019
Provider Mailing Phone/Fax
| Phone: | 5106522911 |
| Fax: | 5106520772 |