Individual
JENNIFER MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 AUDUBON AVE, BRAINTREE, MA 02184-2352
(617) 913-3321
(781) 817-6135
Mailing address
126 AUDUBON AVE, BRAINTREE, MA 02184-2352
(617) 913-3321
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH88211
MA
Other
Enumeration date
09/29/2019
Last updated
09/29/2019
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