Individual
DR. NANCY MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2905 SW 160TH AVE, MIRAMAR, FL 33027-4212
(954) 392-7051
Mailing address
3370 NE 190TH ST APT 2807, AVENTURA, FL 33180-2465
(305) 333-0370
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN17634
FL
Other
Enumeration date
08/01/2006
Last updated
11/04/2010
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