Individual
NEYSHA MILAN MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
981 N WALES RD STE 7, NORTH WALES, PA 19454-1422
(215) 362-4720
Mailing address
8334 RISING SUN AVE, PHILADELPHIA, PA 19111-1457
(215) 554-1325
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH075725
PA
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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