DR. Itzel Medina, DDS

NPI #1023785334 in Groton, Connecticut

Provider Information

NPI Number: 1023785334
Entity Type: Individual
Name: DR. Itzel Medina, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 24, 2021
Last Updated: Jun 29, 2023

Practice Location

Address: 1 WAHOO AVE
City: Groton
State: Connecticut
ZIP Code: 06349-2324
Phone: (860) 694-3736

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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