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1326440041
LANE MEDINA
COTTONWOOD, AZ
NPI
1326440041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AZ D009043)
Enumeration Date
2014-09-24
Last Update Date
2014-09-24
Business Address
-- LANE MEDINA D.D.S.
1061 S STATE ROUTE 260
COTTONWOOD, AZ 86326-4624
Phone number: 928-472-8000
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Mailing Address
-- LANE MEDINA D.D.S.
1061 S STATE ROUTE 260
COTTONWOOD, AZ 86326-4624
Phone number:
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