Organization
ESPINO & MEDINA DDS INC.
Active
Other names
ESPINO & MEDINA DDS INC, Espino & Medina DDS Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID O. MEDINA DDS (PRESIDENT)
(818) 815-1229
Entity
Organization
Contact information
Practice address
2211 UNIVERSITY AVE., RIVERSIDE, CA 92507
(951) 289-9198
Mailing address
P.O. BOX 71126, RIVERSIDE, CA 92513
(818) 815-1229
(951) 588-8552
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
57425
CA
Other
Enumeration date
07/28/2017
Last updated
10/25/2022
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