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Individual
LUIS ENRIQUE MEDINA TORRES
Active
Individual
LUIS ENRIQUE MEDINA TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D011703
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
05/02/2018
Last updated
07/06/2023
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