Individual
DR. MAYRA ALEXANDRA RENDON MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSC
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5888
(617) 432-1434
(617) 432-4258
Mailing address
363 MARLBOROUGH ST APT 8, BOSTON, MA 02115-1504
(617) 212-3266
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DNL100150
MA
Other
Enumeration date
09/11/2024
Last updated
10/16/2024
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