Individual
LUIS ENRIQUE MEDINA TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
4141 N 32ND ST STE 100, PHOENIX, AZ 85018-4775
(602) 404-3800
Mailing address
8121 E INDIAN BEND RD STE 128, SCOTTSDALE, AZ 85250-4820
(602) 482-7000
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D011703
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2018
Last updated
07/06/2023
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