NPI | 1083138481 |
---|---|
Former Legal Business Name | ESPINO & MEDINA DDS INC |
Former Legal Business Name | ESPINO & MEDINA DDS INC. |
Entity Type | Organization |
Authorized Contact | DAVID O. MEDINA President 818-815-1229 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 57425) |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2017-07-28 |
Last Update Date | 2022-10-25 |