Individual
TAILYN MEDINA SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
HAMLIN PEDIATRIC DENTISTRY, 15415 WATERBIRD RD SUITE 100A, WINTER GARDEN, FL 34787
(407) 395-2615
Mailing address
1093 CALLE 15, SAN JUAN, PR 00927-5319
(512) 662-6063
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS043893
PA
1223P0221X
Pediatric Dentistry
Primary
26303
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/27/2021
Last updated
08/23/2024
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