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1376566521
VIVIAN MEDINA
TAMPA, FL
NPI
1376566521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN-12750)
Enumeration Date
2006-07-26
Last Update Date
2011-12-05
Business Address
Dr. VIVIAN MEDINA D.D.S.
3630 MADACA LN
TAMPA, FL 33618-2057
Phone number: 813-264-0286
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Mailing Address
Dr. VIVIAN MEDINA D.D.S.
3630 MADACA LN
TAMPA, FL 33618-2057
Phone number: 813-264-0286
Copy
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