| NPI | 1457451536 |
|---|---|
| Doing Business As | MEDINA ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JESUS M. MEDINA President 210-695-1738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 20136) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |