Jesus Medina JR., DDS

NPI #1134214067 in Las Vegas, Nevada

Provider Information

NPI Number
1134214067
Entity Type
Individual
Name
Jesus Medina JR., DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Oct 4, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2911 N TENAYA WAY STE 101
State
Nevada
ZIP Code
89128-0488
Phone
(702) 368-3627

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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