DR. Mark Grant Medinnus, DDS

NPI #1003065988 in Fort Jones, California

Provider Information

NPI Number: 1003065988
Entity Type: Individual
Name: DR. Mark Grant Medinnus, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Sep 16, 2008
Last Updated: Mar 19, 2016

Practice Location

Address: 9024 SNIKTAW LN
City: Fort Jones
State: California
ZIP Code: 96032-9408
Phone: (530) 468-4470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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