DR. Myrna Jose Medina, DDS

NPI #1558446575 in Watsonville, California

Provider Information

NPI Number: 1558446575
Entity Type: Individual
Name: DR. Myrna Jose Medina, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 15 PENNY LN STE 1
City: Watsonville
State: California
ZIP Code: 95076-6010
Phone: (831) 722-4635

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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