DOMINIQUE J MEDINA

TORRANCE, CA
NPI1598152803
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CA  107247)
Enumeration Date2015-04-24
Last Update Date2022-07-26
Business Address
DOMINIQUE J MEDINA
1000 W CARSON ST
TORRANCE, CA 90502-2004
Phone number: 424-306-4040
Mailing Address
DOMINIQUE J MEDINA
3181 SW SAM JACKSON PARK ROAD OHSU
PORTLAND, OR 97239
Phone number: 503-494-8211
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