| Medina & Oliva Dental Pc | |
|
925 Corporate Cntr Pkwy Ste G Santa Rosa CA 95407-5453 | |
| (425) 647-0907 | |
| Not Available |
| Full Name | Medina & Oliva Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 925 Corporate Cntr Pkwy Ste G, Santa Rosa, California |
| Authorized Official Name and Position | David Alejandro Medina (DENTIST) |
| Authorized Official Contact | 4256470907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medina & Oliva Dental Pc 1932 Belgrave Dr Petaluma CA 94954-3995 Ph: (425) 647-0907 | Medina & Oliva Dental Pc 925 Corporate Cntr Pkwy Ste G Santa Rosa CA 95407-5453 Ph: (425) 647-0907 |
| NPI Number | 1427529601 |
|---|---|
| Provider Enumeration Date | 12/16/2018 |
| Last Update Date | 12/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427529601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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