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1316295223
VIVIAN MEDINA DDS PA
TAMPA, FL
NPI
1316295223
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Entity Type
Organization
Authorized Contact
VIVIAN MEDINA
Owner
813-264-0286
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: FL DN12750)
Enumeration Date
2012-08-27
Last Update Date
2012-08-27
Business Address
VIVIAN MEDINA DDS PA
3630 MADACA LN
TAMPA, FL 33618-2057
Phone number: 813-264-0286
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Mailing Address
VIVIAN MEDINA DDS PA
3630 MADACA LN
TAMPA, FL 33618-2057
Phone number: 813-264-0286
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