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1598152803
DOMINIQUE J MEDINA
TORRANCE, CA
NPI
1598152803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CA 107247)
Enumeration Date
2015-04-24
Last Update Date
2022-07-26
Business Address
DOMINIQUE J MEDINA
1000 W CARSON ST
TORRANCE, CA 90502-2004
Phone number: 424-306-4040
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Mailing Address
DOMINIQUE J MEDINA
3181 SW SAM JACKSON PARK ROAD OHSU
PORTLAND, OR 97239
Phone number: 503-494-8211
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