Individual
VANINA HAYDEE MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1600 MALL OF GEORGIA BLVD, SUITE 1230, BUFORD, GA 30519-8749
(678) 606-0166
(678) 606-0166
Mailing address
1600 MALL OF GEORGIA BLVD, SUITE 1230, BUFORD, GA 30519-8749
(678) 606-0166
(678) 606-0167
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015036
GA
Other
Enumeration date
07/16/2015
Last updated
11/21/2016
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