Individual
DR. HIRAM ISMAEL MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1111 UNIVERSITY BLVD W STE G5A, SILVER SPRING, MD 20902-3360
(301) 592-9224
(301) 592-9227
Mailing address
1111 UNIVERSITY BLVD W STE G5A, SILVER SPRING, MD 20902-3360
(301) 592-9224
(301) 592-9227
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11091
MD
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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