Individual
DR. DIANA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5330 E MOCKINGBIRD LN STE 120, DALLAS, TX 75206-0941
(214) 821-5011
Mailing address
195 W DAVIS ST APT 303, DALLAS, TX 75208-4423
(903) 434-9781
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37528
TX
Other
Enumeration date
07/21/2021
Last updated
07/28/2021
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