DR. Marilou Panganiban Medina, D.M.D.

NPI #1336211309 in Fontana, California

Provider Information

NPI Number: 1336211309
Entity Type: Individual
Name: DR. Marilou Panganiban Medina, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Nov 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 14451 FOOTHILL BLVD
Address 2: SUITE 104
City: Fontana
State: California
ZIP Code: 92335-3069
Phone: (909) 355-6400

Specialties & Taxonomy Codes

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

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