IndividualActive
Jo Martin
NPI 1417068859 · Dental Assistant · Longview, WA
Provider details
- NPI number
- 1417068859
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
Practice location
292 Carlon Loop Rd
Longview, WA 98632-9674
Phone: (360) 425-0534
Approximate (ZIP-level) locationGet directions
Mailing address
292 Carlon Loop Rd
Longview, WA 98632-9674
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.