| NPI | 1669642963 |
|---|---|
| Doing Business As | MARYKNOLL DENTAL OFFICE OF MARILOU P. MEDINA, DMD, INC. |
| Entity Type | Organization |
| Authorized Contact | MARILOU PANGANIBAN MEDINA Dentist 909-355-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 44340) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2020-12-15 |