VIVIAN MEDINA DDS PA

TAMPA, FL
NPI1316295223
Entity TypeOrganization
Authorized ContactVIVIAN MEDINA
Owner
813-264-0286
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: FL  DN12750)
Enumeration Date2012-08-27
Last Update Date2012-08-27
Business Address
VIVIAN MEDINA DDS PA
3630 MADACA LN
TAMPA, FL 33618-2057
Phone number: 813-264-0286
Mailing Address
VIVIAN MEDINA DDS PA
3630 MADACA LN
TAMPA, FL 33618-2057
Phone number: 813-264-0286