JOE MEDELLIN

NORTHRIDGE, CA
NPI1326226440
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  56535)
Additional Taxonomies122300000X Dentist
(Licence: CA  56535)
Enumeration Date2008-01-31
Last Update Date2018-11-13
Business Address
JOE MEDELLIN DDS
8949 RESEDA BLVD STE 116
NORTHRIDGE, CA 91324
Phone number: 818-280-5596
Mailing Address
JOE MEDELLIN DDS
8949 RESEDA BLVD STE 116
NORTHRIDGE, CA 91324-3995
Phone number: 818-280-5596