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1003827551
DIANA MARCELA MEDINA
LOS ANGELES, CA
NPI
1003827551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CA 50643)
Enumeration Date
2006-08-10
Last Update Date
2007-07-08
Business Address
Dr. DIANA MARCELA MEDINA DDS
11980 SAN VICENTE BLVD SUITE 505
LOS ANGELES, CA 90049-5012
Phone number: 310-820-6691
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Mailing Address
Dr. DIANA MARCELA MEDINA DDS
10620 EASTBORNE AVE APT # 302
LOS ANGELES, CA 90024-5985
Phone number: 310-490-6674
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