DR. Ingrid Luz Medina, DDS

NPI #1922233550 in Belleview, Florida

Provider Information

NPI Number: 1922233550
Entity Type: Individual
Name: DR. Ingrid Luz Medina, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 27, 2009
Last Updated: May 27, 2009

Practice Location

Address: 5927 SE BABB RD
City: Belleview
State: Florida
ZIP Code: 34420-4105
Phone: (352) 245-9184

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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