MR. Eduardo Medina, RDA

NPI #1629652854 in South Gate, California

Provider Information

NPI Number: 1629652854
Entity Type: Individual
Name: MR. Eduardo Medina, RDA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Credential: RDA
Enumeration Date: May 12, 2021
Last Updated: May 12, 2021

Practice Location

Address: 8454 VICTORIA AVE APT C
City: South Gate
State: California
ZIP Code: 90280-2364
Phone: (818) 445-1201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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