Individual
DR. DAVID O MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10925 MAGNOLIA AVE, RIVERSIDE, CA 92505-3044
(951) 977-9991
(951) 588-8552
Mailing address
10925 MAGNOLIA AVE, RIVERSIDE, CA 92505-3044
(951) 977-9991
(951) 588-8552
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
57425
CA
Other
Enumeration date
08/12/2008
Last updated
06/25/2015
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