| Espino & Medina Dds Inc. | |
|
2211 University Ave. Riverside CA 92507 | |
| (951) 289-9198 | |
| Not Available |
| Full Name | Espino & Medina Dds Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2211 University Ave., Riverside, California |
| Authorized Official Name and Position | David O. Medina (PRESIDENT) |
| Authorized Official Contact | 8188151229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Espino & Medina Dds Inc. P.o. Box 71126 Riverside CA 92513 Ph: (818) 815-1229 | Espino & Medina Dds Inc. 2211 University Ave. Riverside CA 92507 Ph: (951) 289-9198 |
| NPI Number | 1083138481 |
|---|---|
| Provider Enumeration Date | 07/28/2017 |
| Last Update Date | 10/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083138481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | 57425 (California) | Primary |
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