NPI | 1659951333 |
---|---|
Former Legal Business Name | KARINA MEDINA |
Entity Type | Organization |
Authorized Contact | KARINA MEDINA Dentist 619-488-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-04-08 |
Last Update Date | 2021-04-08 |