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1598793432
JUDITH MARIA MEDINA-RIVERA
AUSTIN, TX
NPI
1598793432
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 23136)
Additional Taxonomies
122300000X Dentist
(Licence: PR 2571)
Enumeration Date
2006-06-29
Last Update Date
2009-12-11
Business Address
Dr. JUDITH MARIA MEDINA-RIVERA D.M.D.
11521 N FM 620 STE 700
AUSTIN, TX 78726-1147
Phone number: 512-560-0118
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Mailing Address
Dr. JUDITH MARIA MEDINA-RIVERA D.M.D.
11521 N FM 620 STE 700
AUSTIN, TX 78726-1147
Phone number: 512-560-0118
Copy
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