DOMINIQUE J MEDINA
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1598152803- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1000 W CARSON ST, TORRANCE, CA, 905022004
- Phone
- (424) 306-4040
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: CA #107247