Individual
KRISTINE J MEDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
222 EDGEWOOD RD NW, CEDAR RAPIDS, IA 52405-4472
(319) 365-6242
(319) 365-1877
Mailing address
1610 CANYON BLVD, BOULDER, CO 80302-5407
(303) 442-5000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7574
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105577
—
IA
Enumeration date
05/21/2007
Last updated
04/01/2026
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