VIVIAN MEDINA

TAMPA, FL
NPI1376566521
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  DN-12750)
Enumeration Date2006-07-26
Last Update Date2011-12-05
Business Address
Dr. VIVIAN MEDINA D.D.S.
3630 MADACA LN
TAMPA, FL 33618-2057
Phone number: 813-264-0286
Mailing Address
Dr. VIVIAN MEDINA D.D.S.
3630 MADACA LN
TAMPA, FL 33618-2057
Phone number: 813-264-0286