Individual
DR. ALISSA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
605 S CONROE MEDICAL DR, CONROE, TX 77304-4722
(936) 539-4004
(936) 521-3964
Mailing address
605 S CONROE MEDICAL DR, CONROE, TX 77304-4722
(936) 539-4004
(936) 521-3964
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22D102379900
NJ
1223G0001X
General Practice Dentistry
Primary
26336
TX
1223G0001X
General Practice Dentistry
4084-19
MS
1223G0001X
General Practice Dentistry
Primary
4254
AR
1223G0001X
General Practice Dentistry
6916
LA
Other
Enumeration date
01/31/2009
Last updated
04/23/2026
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