DR. Avis Marie Medina, DMD
NPI #1740484823 in Punta Gorda, Florida
Provider Information
- NPI Number
- 1740484823
- Entity Type
- Individual
- Name
- DR. Avis Marie Medina, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Jun 13, 2007
- Last Updated
- Jun 10, 2009
Practice Location
- Address
- 6230 SCOTT ST
- Address 2
- UNIT 213
- City
- Punta Gorda
- State
- Florida
- ZIP Code
- 33950-3940
- Phone
- (941) 457-5174
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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