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1932442332
MARK R MEDINA
SAN DIEGO, CA
NPI
1932442332
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 25595)
Enumeration Date
2013-04-03
Last Update Date
2013-04-03
Business Address
DR. MARK R MEDINA DDS
9955 CARMEL MOUNTAIN RD STE 4
SAN DIEGO, CA 92129-2815
Phone number: 858-484-3100
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Mailing Address
DR. MARK R MEDINA DDS
9955 CARMEL MOUNTAIN RD STE 4
SAN DIEGO, CA 92129-2815
Phone number: 858-484-3100
Copy
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