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1932576824
ALFRED A MEDINA
CHULA VISTA, CA
NPI
1932576824
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 29371)
Enumeration Date
2015-08-26
Last Update Date
2015-08-26
Business Address
Dr. ALFRED A MEDINA DDS
309 3RD AVE
CHULA VISTA, CA 91910-3910
Phone number: 619-420-6030
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Mailing Address
Dr. ALFRED A MEDINA DDS
309 3RD AVE
CHULA VISTA, CA 91910-3910
Phone number: 619-420-6030
Copy
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