ITZEL MEDINA

GROTON, CT
NPI1023785334
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: NJ  22DI02862000)
Enumeration Date2021-08-24
Last Update Date2023-06-29
Business Address
Dr. ITZEL MEDINA DDS
1 WAHOO AVE
GROTON, CT 06349-2324
Phone number: 860-694-3736
Mailing Address
Dr. ITZEL MEDINA DDS
1 WAHOO AVE
GROTON, CT 06349-2324
Phone number: 860-694-3736