A MEDINA PROFESSIONAL DENTAL CORPORATION
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1114167186- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 309 THIRD AVENUE, CHULA VISTA, CA, 919103910
- Phone
- (619) 420-6030
- Fax
- (619) 420-9102
Specialties & Taxonomies
Dentist
Primary License: CA #29371