Lane Medina, D.D.S.
NPI #1326440041 in Cottonwood, Arizona
Provider Information
- NPI Number
- 1326440041
- Entity Type
- Individual
- Name
- Lane Medina, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Sep 24, 2014
- Last Updated
- Sep 24, 2014
Practice Location
- Address
- 1061 S STATE ROUTE 260
- City
- Cottonwood
- State
- Arizona
- ZIP Code
- 86326-4624
- Phone
- (928) 472-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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