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1720412042
ADRIAN MEDINA
BALTIMORE, MD
NPI
1720412042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MD 16177)
Enumeration Date
2013-08-22
Last Update Date
2016-07-23
Business Address
-- ADRIAN MEDINA DDS
1501 DIVISION ST
BALTIMORE, MD 21217-3121
Phone number: 410-383-8300
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Mailing Address
-- ADRIAN MEDINA DDS
10 PONDEROSA LN
OLD BRIDGE, NJ 08857-3332
Phone number:
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