Organization
J.M. MEDINA, D.M.D., P.A.
Active
Other names
Medina Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESUS M. MEDINA D.M.D. (PRESIDENT)
(210) 695-1738
Entity
Organization
Contact information
Practice address
11868 BANDERA RD, HELOTES, TX 78023-4132
(210) 695-1738
(210) 695-1736
Mailing address
11868 BANDERA RD, HELOTES, TX 78023-4132
(210) 695-1738
(210) 695-1736
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
20136
TX
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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