Susan Medina, RDH

NPI #1306388244 in Owego, New York

Provider Information

NPI Number: 1306388244
Entity Type: Individual
Name: Susan Medina, RDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Nov 9, 2016
Last Updated: Nov 9, 2016

Practice Location

Address: 1062 STATE RT 38
Address 2: SUITE 120
City: Owego
State: New York
ZIP Code: 13827
Phone: (607) 687-8595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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