Organization
MARIA AHLEEN DE LEON MEDINA DMD CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONNEL MEDINA (OFFICE ADMINISTRATOR)
(916) 276-8629
Entity
Organization
Contact information
Practice address
6600 MADISON AVE STE 3, CARMICHAEL, CA 95608-0645
(916) 276-8629
Mailing address
4900 BRITTANY CT, ROCKLIN, CA 95677-4446
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2017
Last updated
07/14/2017
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