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1134214067
JESUS MEDINA
LAS VEGAS, NV
NPI
1134214067
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NV NV 2512)
Enumeration Date
2006-10-04
Last Update Date
2007-07-08
Business Address
-- JESUS MEDINA DDS
2911 N TENAYA WAY STE 101
LAS VEGAS, NV 89128-0488
Phone number: 702-368-3627
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Mailing Address
-- JESUS MEDINA DDS
2911 N TENAYA WAY STE 101
LAS VEGAS, NV 89128-0488
Phone number: 702-368-3627
Copy
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