Organization
MEDINA & OLIVA DENTAL PC
Active
Other names
Cascade Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ALEJANDRO MEDINA DDS (DENTIST)
(425) 647-0907
Entity
Organization
Contact information
Practice address
925 CORPORATE CNTR PKWY STE G, SANTA ROSA, CA 95407-5453
(425) 647-0907
Mailing address
1932 BELGRAVE DR, PETALUMA, CA 94954-3995
(425) 647-0907
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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