| NPI | 1376057232 |
|---|---|
| Doing Business As | LUIS MEDINA DDS |
| Entity Type | Organization |
| Authorized Contact | LUIS MEDINA Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ZZ 5465221) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |