Individual
DR. JESUS M MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
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
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
20136
TX
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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