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Organization
PACHECO-MEDINA DENTAL CORPORATION
Active
Organization
PACHECO-MEDINA DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LETICIA MEDINA DDS (SECRETARY/OWNER)
(805) 687-1106
Entity
Organization
Contact information
Practice address
2323 DE LA VINA ST., SUITE 207, SANTA BARBARA, CA 93105-3880
(805) 687-1106
(805) 687-5886
Mailing address
2323 DE LA VINA ST., SUITE 207, SANTA BARBARA, CA 93105-3880
(805) 687-1106
(805) 687-5886
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39448
CA
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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