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1073630760
JOSE A MEDINA
SAN JUAN, PR
NPI
1073630760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223E0200X Dentist, Endodontics
(Licence: PR 2008)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
Dr. JOSE A MEDINA DMD
1738 CALLE AMARILLO SUITE 207-B (BOX 16)
SAN JUAN, PR 00926-3072
Phone number: 787-765-7248
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Mailing Address
Dr. JOSE A MEDINA DMD
1738 CALLE AMARILLO SUITE 207-B (BOX 16)
SAN JUAN, PR 00926-3072
Phone number: 787-765-7248
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